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 $316.23 Median $758.58 Typical High $1,819.70 | Facility | None | $316.23 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $512.86 Typical High $776.25 | Professional | None | $213.80 | $512.86 | $776.25 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
BCBS Mississippi Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,548.82 Typical High $3,019.95 | Facility | None | $630.96 | $1,548.82 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $416.87 Typical High $616.60 | Professional | None | $269.15 | $416.87 | $616.60 |
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 $758.58 Median $1,412.54 Typical High $6,025.60 | Facility | None | $758.58 | $1,412.54 | $6,025.60 |
United Setting Professional Modifier None Typical Low $223.87 Median $346.74 Typical High $707.95 | Professional | None | $223.87 | $346.74 | $707.95 |
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 $107.15 Median $257.04 Typical High $380.19 | Professional | 52 · Reduced service | $107.15 | $257.04 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $104.71 Typical High $154.88 | Professional | 53 · Discontinued | $42.66 | $104.71 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $389.05 Typical High $575.44 | Professional | 54 · Surgery only | $162.18 | $389.05 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $77.62 Typical High $114.82 | Professional | 55 · Aftercare only | $32.36 | $77.62 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $51.29 Typical High $77.62 | Professional | 56 · Pre-op care only | $21.38 | $51.29 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $363.08 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $151.36 | $363.08 | $537.03 |
Where Mississippi sits
The same service costs 5.5 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· 14th of 51
$468
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.