How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $123.03 Median $758.58 Typical High $1,819.70 | Facility | None | $123.03 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $181.97 Typical High $275.42 | Professional | None | $83.18 | $181.97 | $275.42 |
BCBS Mississippi Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
BCBS Mississippi Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $100.00 Typical High $229.09 | Facility | None | $50.12 | $100.00 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $131.83 Typical High $199.53 | Professional | None | $83.18 | $131.83 | $199.53 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $91.20 Median $316.23 Typical High $1,096.48 | Facility | None | $91.20 | $316.23 | $1,096.48 |
United Setting Professional Modifier None Typical Low $91.20 Median $134.90 Typical High $234.42 | Professional | None | $91.20 | $134.90 | $234.42 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $91.20 Typical High $138.04 | Professional | 52 · Reduced service | $40.74 | $91.20 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $36.31 Typical High $54.95 | Professional | 53 · Discontinued | $16.60 | $36.31 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $61.66 Median $138.04 Typical High $208.93 | Professional | 54 · Surgery only | $61.66 | $138.04 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $27.54 Typical High $41.69 | Professional | 55 · Aftercare only | $12.30 | $27.54 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $18.20 Typical High $27.54 | Professional | 56 · Pre-op care only | $8.32 | $18.20 | $27.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $57.54 Median $128.82 Typical High $194.98 | Professional | 78 · Unplanned return to OR | $57.54 | $128.82 | $194.98 |
Where Mississippi sits
The same service costs 3.5 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Mississippi· 25th of 51
$148
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.