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 $138.04 Median $549.54 Typical High $1,819.70 | Facility | None | $138.04 | $549.54 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $338.84 Typical High $549.54 | Professional | None | $138.04 | $338.84 | $549.54 |
BCBS Mississippi Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
BCBS Mississippi Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $707.95 Typical High $1,445.44 | Facility | None | $436.52 | $707.95 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $257.04 Typical High $416.87 | Professional | None | $186.21 | $257.04 | $416.87 |
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 $3,090.30 | Facility | None | $467.74 | $758.58 | $3,090.30 |
United Setting Professional Modifier None Typical Low $144.54 Median $239.88 Typical High $478.63 | Professional | None | $144.54 | $239.88 | $478.63 |
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 $69.18 Median $169.82 Typical High $275.42 | Professional | 52 · Reduced service | $69.18 | $169.82 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $67.61 Typical High $109.65 | Professional | 53 · Discontinued | $27.54 | $67.61 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $251.19 Typical High $416.87 | Professional | 54 · Surgery only | $104.71 | $251.19 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $50.12 Typical High $83.18 | Professional | 55 · Aftercare only | $20.89 | $50.12 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $33.88 Typical High $54.95 | Professional | 56 · Pre-op care only | $13.80 | $33.88 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $97.72 Median $234.42 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $97.72 | $234.42 | $389.05 |
Where Mississippi sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 13th of 51
$339
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.