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 $79.43 Median $776.25 Typical High $1,995.26 | Facility | None | $79.43 | $776.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $177.83 Typical High $229.09 | Professional | None | $79.43 | $177.83 | $229.09 |
BCBS Mississippi Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
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 $85.11 Typical High $338.84 | Facility | None | $50.12 | $85.11 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $131.83 Typical High $173.78 | Professional | None | $81.28 | $131.83 | $173.78 |
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 $316.23 Typical High $1,096.48 | Facility | None | $91.20 | $316.23 | $1,096.48 |
United Setting Professional Modifier None Typical Low $89.13 Median $117.49 Typical High $223.87 | Professional | None | $89.13 | $117.49 | $223.87 |
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 $39.81 Median $89.13 Typical High $114.82 | Professional | 52 · Reduced service | $39.81 | $89.13 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $35.48 Typical High $45.71 | Professional | 53 · Discontinued | $15.85 | $35.48 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $131.83 Typical High $173.78 | Professional | 54 · Surgery only | $60.26 | $131.83 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $26.30 Typical High $34.67 | Professional | 55 · Aftercare only | $12.02 | $26.30 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $17.78 Typical High $22.91 | Professional | 56 · Pre-op care only | $7.94 | $17.78 | $22.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $56.23 Median $123.03 Typical High $162.18 | Professional | 78 · Unplanned return to OR | $56.23 | $123.03 | $162.18 |
Where Mississippi sits
The same service costs 3.8 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· 16th of 51
$151
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.