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 $251.19 Median $758.58 Typical High $1,819.70 | Facility | None | $251.19 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $537.03 Typical High $602.56 | Professional | None | $239.88 | $537.03 | $602.56 |
BCBS Mississippi Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
BCBS Mississippi Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $154.88 Typical High $524.81 | Facility | None | $125.89 | $154.88 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $407.38 Typical High $457.09 | Professional | None | $234.42 | $407.38 | $457.09 |
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 $234.42 Median $257.04 Typical High $588.84 | Professional | None | $234.42 | $257.04 | $588.84 |
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 $120.23 Median $263.03 Typical High $302.00 | Professional | 52 · Reduced service | $120.23 | $263.03 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $107.15 Typical High $120.23 | Professional | 53 · Discontinued | $47.86 | $107.15 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $398.11 Typical High $446.68 | Professional | 54 · Surgery only | $177.83 | $398.11 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $79.43 Typical High $91.20 | Professional | 55 · Aftercare only | $35.48 | $79.43 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $53.70 Typical High $60.26 | Professional | 56 · Pre-op care only | $23.99 | $53.70 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $371.54 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $165.96 | $371.54 | $416.87 |
Where Mississippi sits
The same service costs 5.9 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· 20th of 51
$380
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.