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 $457.09 Median $891.25 Typical High $1,995.26 | Facility | None | $457.09 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $812.83 Typical High $1,096.48 | Professional | None | $331.13 | $812.83 | $1,096.48 |
BCBS Mississippi Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $794.33 Typical High $1,445.44 | Facility | None | $691.83 | $794.33 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $616.60 Typical High $870.96 | Professional | None | $380.19 | $616.60 | $870.96 |
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 $354.81 Median $501.19 Typical High $1,047.13 | Professional | None | $354.81 | $501.19 | $1,047.13 |
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 $165.96 Median $398.11 Typical High $549.54 | Professional | 52 · Reduced service | $165.96 | $398.11 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $162.18 Typical High $218.78 | Professional | 53 · Discontinued | $66.07 | $162.18 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $602.56 Typical High $831.76 | Professional | 54 · Surgery only | $251.19 | $602.56 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $120.23 Typical High $165.96 | Professional | 55 · Aftercare only | $50.12 | $120.23 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $81.28 Typical High $109.65 | Professional | 56 · Pre-op care only | $33.11 | $81.28 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $562.34 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $234.42 | $562.34 | $776.25 |
Where Mississippi sits
The same service costs 4.8 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· 17th of 51
$631
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.