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 $41.69 Median $776.25 Typical High $1,995.26 | Facility | None | $41.69 | $776.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $72.44 Typical High $100.00 | Professional | None | $41.69 | $72.44 | $100.00 |
BCBS Mississippi Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
BCBS Mississippi Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $89.13 Typical High $338.84 | Facility | None | $50.12 | $89.13 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $66.07 Typical High $74.13 | Professional | None | $39.81 | $66.07 | $74.13 |
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 $89.13 Median $223.87 Typical High $1,096.48 | Facility | None | $89.13 | $223.87 | $1,096.48 |
United Setting Professional Modifier None Typical Low $44.67 Median $51.29 Typical High $97.72 | Professional | None | $44.67 | $51.29 | $97.72 |
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 $20.89 Median $38.02 Typical High $50.12 | Professional | 52 · Reduced service | $20.89 | $38.02 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $15.49 Typical High $19.95 | Professional | 53 · Discontinued | $8.32 | $15.49 | $19.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $31.62 Median $57.54 Typical High $74.13 | Professional | 54 · Surgery only | $31.62 | $57.54 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $11.48 Typical High $15.14 | Professional | 55 · Aftercare only | $6.31 | $11.48 | $15.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $7.59 Typical High $10.00 | Professional | 56 · Pre-op care only | $4.17 | $7.59 | $10.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $29.51 Median $53.70 Typical High $69.18 | Professional | 78 · Unplanned return to OR | $29.51 | $53.70 | $69.18 |
Where Mississippi sits
The same service costs 4.6 times more in Alaska than in New York. 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· 15th of 51
$72.44
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.