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 $223.87 Median $758.58 Typical High $1,819.70 | Facility | None | $223.87 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $354.81 Typical High $537.03 | Professional | None | $144.54 | $354.81 | $537.03 |
BCBS Mississippi Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
BCBS Mississippi Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $213.80 Typical High $524.81 | Facility | None | $173.78 | $213.80 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $275.42 Typical High $416.87 | Professional | None | $190.55 | $275.42 | $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 $154.88 Median $229.09 Typical High $478.63 | Professional | None | $154.88 | $229.09 | $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 $72.44 Median $177.83 Typical High $269.15 | Professional | 52 · Reduced service | $72.44 | $177.83 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $70.79 Typical High $107.15 | Professional | 53 · Discontinued | $28.84 | $70.79 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $263.03 Typical High $407.38 | Professional | 54 · Surgery only | $109.65 | $263.03 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $52.48 Typical High $81.28 | Professional | 55 · Aftercare only | $21.88 | $52.48 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $35.48 Typical High $53.70 | Professional | 56 · Pre-op care only | $14.45 | $35.48 | $53.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $102.33 Median $245.47 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $102.33 | $245.47 | $380.19 |
Where Mississippi sits
The same service costs 3.7 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· 13th of 51
$309
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.