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 $263.03 Median $758.58 Typical High $1,819.70 | Facility | None | $263.03 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $562.34 Typical High $645.65 | Professional | None | $239.88 | $562.34 | $645.65 |
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 $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $138.04 Typical High $295.12 | Facility | None | $50.12 | $138.04 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $407.38 Typical High $478.63 | Professional | None | $229.09 | $407.38 | $478.63 |
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 $229.09 Median $263.03 Typical High $588.84 | Professional | None | $229.09 | $263.03 | $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 $281.84 Typical High $323.59 | Professional | 52 · Reduced service | $120.23 | $281.84 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $114.82 Typical High $128.82 | Professional | 53 · Discontinued | $47.86 | $114.82 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $426.58 Typical High $478.63 | Professional | 54 · Surgery only | $177.83 | $426.58 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $85.11 Typical High $95.50 | Professional | 55 · Aftercare only | $35.48 | $85.11 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $56.23 Typical High $64.57 | Professional | 56 · Pre-op care only | $23.99 | $56.23 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $398.11 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $165.96 | $398.11 | $446.68 |
Where Mississippi sits
The same service costs 5.4 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· 19th 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.