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 $436.52 Median $776.25 Typical High $1,995.26 | Facility | None | $436.52 | $776.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $707.95 Typical High $1,071.52 | Professional | None | $295.12 | $707.95 | $1,071.52 |
BCBS Mississippi Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
BCBS Mississippi Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $676.08 Typical High $1,258.93 | Facility | None | $588.84 | $676.08 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $524.81 Typical High $794.33 | Professional | None | $363.08 | $524.81 | $794.33 |
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 $758.58 Typical High $2,951.21 | Facility | None | $467.74 | $758.58 | $2,951.21 |
United Setting Professional Modifier None Typical Low $288.40 Median $446.68 Typical High $933.25 | Professional | None | $288.40 | $446.68 | $933.25 |
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 $147.91 Median $354.81 Typical High $537.03 | Professional | 52 · Reduced service | $147.91 | $354.81 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $144.54 Typical High $213.80 | Professional | 53 · Discontinued | $58.88 | $144.54 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $537.03 Typical High $794.33 | Professional | 54 · Surgery only | $223.87 | $537.03 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $107.15 Typical High $158.49 | Professional | 55 · Aftercare only | $44.67 | $107.15 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $70.79 Typical High $107.15 | Professional | 56 · Pre-op care only | $29.51 | $70.79 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $208.93 Median $501.19 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $208.93 | $501.19 | $741.31 |
Where Mississippi sits
The same service costs 5.1 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· 32nd of 51
$501
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.