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 $141.25 Median $338.84 Typical High $537.03 | Professional | None | $141.25 | $338.84 | $537.03 |
BCBS Mississippi Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
BCBS Mississippi Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
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 $186.21 Median $263.03 Typical High $416.87 | Professional | None | $186.21 | $263.03 | $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 $302.00 Median $616.60 Typical High $2,884.03 | Facility | None | $302.00 | $616.60 | $2,884.03 |
United Setting Professional Modifier None Typical Low $147.91 Median $229.09 Typical High $467.74 | Professional | None | $147.91 | $229.09 | $467.74 |
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 $70.79 Median $169.82 Typical High $263.03 | Professional | 52 · Reduced service | $70.79 | $169.82 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $67.61 Typical High $107.15 | Professional | 53 · Discontinued | $28.18 | $67.61 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $257.04 Typical High $398.11 | Professional | 54 · Surgery only | $104.71 | $257.04 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $51.29 Typical High $79.43 | Professional | 55 · Aftercare only | $21.38 | $51.29 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $33.88 Typical High $53.70 | Professional | 56 · Pre-op care only | $14.13 | $33.88 | $53.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $97.72 Median $239.88 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $97.72 | $239.88 | $371.54 |
Where Mississippi sits
The same service costs 3.5 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
$302
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.