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 $109.65 Median $758.58 Typical High $1,819.70 | Facility | None | $109.65 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $194.98 Typical High $269.15 | Professional | None | $81.28 | $194.98 | $269.15 |
BCBS Mississippi Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
BCBS Mississippi Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $85.11 Typical High $194.98 | Facility | None | $50.12 | $85.11 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $147.91 Typical High $204.17 | Professional | None | $100.00 | $147.91 | $204.17 |
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 $467.74 Median $812.83 Typical High $3,090.30 | Facility | None | $467.74 | $812.83 | $3,090.30 |
United Setting Professional Modifier None Typical Low $79.43 Median $104.71 Typical High $245.47 | Professional | None | $79.43 | $104.71 | $245.47 |
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 $97.72 Typical High $131.83 | Professional | 52 · Reduced service | $40.74 | $97.72 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $38.90 Typical High $53.70 | Professional | 53 · Discontinued | $16.22 | $38.90 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $147.91 Typical High $199.53 | Professional | 54 · Surgery only | $60.26 | $147.91 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $29.51 Typical High $39.81 | Professional | 55 · Aftercare only | $12.30 | $29.51 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $19.50 Typical High $26.92 | Professional | 56 · Pre-op care only | $8.13 | $19.50 | $26.92 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $56.23 Median $138.04 Typical High $186.21 | Professional | 78 · Unplanned return to OR | $56.23 | $138.04 | $186.21 |
Where Mississippi sits
The same service costs 4.0 times more in Alaska than in Florida. 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
$141
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.