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 $302.00 Median $758.58 Typical High $1,819.70 | Facility | None | $302.00 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $512.86 Typical High $660.69 | Professional | None | $234.42 | $512.86 | $660.69 |
BCBS Mississippi Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
BCBS Mississippi Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $194.98 Typical High $371.54 | Facility | None | $50.12 | $194.98 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $380.19 Typical High $489.78 | Professional | None | $234.42 | $380.19 | $489.78 |
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 $363.08 Typical High $1,479.11 | Facility | None | $91.20 | $363.08 | $1,479.11 |
United Setting Professional Modifier None Typical Low $263.03 Median $331.13 Typical High $645.65 | Professional | None | $263.03 | $331.13 | $645.65 |
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 $117.49 Median $257.04 Typical High $331.13 | Professional | 52 · Reduced service | $117.49 | $257.04 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $102.33 Typical High $134.90 | Professional | 53 · Discontinued | $46.77 | $102.33 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $380.19 Typical High $501.19 | Professional | 54 · Surgery only | $173.78 | $380.19 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $77.62 Typical High $100.00 | Professional | 55 · Aftercare only | $34.67 | $77.62 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $51.29 Typical High $66.07 | Professional | 56 · Pre-op care only | $23.44 | $51.29 | $66.07 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $354.81 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $162.18 | $354.81 | $467.74 |
Where Mississippi sits
The same service costs 4.0 times more in Alaska than in Texas. 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
$380
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.