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 $331.13 Median $758.58 Typical High $1,819.70 | Facility | None | $331.13 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $549.54 Typical High $794.33 | Professional | None | $229.09 | $549.54 | $794.33 |
BCBS Mississippi Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
BCBS Mississippi Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $275.42 Typical High $1,047.13 | Facility | None | $223.87 | $275.42 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $426.58 Typical High $645.65 | Professional | None | $281.84 | $426.58 | $645.65 |
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 $4,365.16 | Facility | None | $758.58 | $1,412.54 | $4,365.16 |
United Setting Professional Modifier None Typical Low $239.88 Median $363.08 Typical High $724.44 | Professional | None | $239.88 | $363.08 | $724.44 |
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 $114.82 Median $275.42 Typical High $398.11 | Professional | 52 · Reduced service | $114.82 | $275.42 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $109.65 Typical High $162.18 | Professional | 53 · Discontinued | $45.71 | $109.65 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $416.87 Typical High $602.56 | Professional | 54 · Surgery only | $169.82 | $416.87 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $83.18 Typical High $120.23 | Professional | 55 · Aftercare only | $34.67 | $83.18 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $54.95 Typical High $79.43 | Professional | 56 · Pre-op care only | $22.91 | $54.95 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $389.05 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $162.18 | $389.05 | $562.34 |
Where Mississippi sits
The same service costs 4.3 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· 15th of 51
$479
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.