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 $218.78 Median $758.58 Typical High $1,819.70 | Facility | None | $218.78 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $467.74 Typical High $537.03 | Professional | None | $218.78 | $467.74 | $537.03 |
BCBS Mississippi Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
BCBS Mississippi Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $831.76 Typical High $1,698.24 | Facility | None | $436.52 | $831.76 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $371.54 Typical High $398.11 | Professional | None | $213.80 | $371.54 | $398.11 |
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 $194.98 Median $229.09 Typical High $524.81 | Professional | None | $194.98 | $229.09 | $524.81 |
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 $109.65 Median $234.42 Typical High $269.15 | Professional | 52 · Reduced service | $109.65 | $234.42 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $95.50 Typical High $107.15 | Professional | 53 · Discontinued | $43.65 | $95.50 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $354.81 Typical High $398.11 | Professional | 54 · Surgery only | $165.96 | $354.81 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $70.79 Typical High $79.43 | Professional | 55 · Aftercare only | $33.11 | $70.79 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $46.77 Typical High $53.70 | Professional | 56 · Pre-op care only | $21.88 | $46.77 | $53.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $154.88 Median $331.13 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $154.88 | $331.13 | $371.54 |
Where Mississippi sits
The same service costs 5.4 times more in Alaska than in Utah. 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· 18th of 51
$355
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.