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 $234.42 Median $758.58 Typical High $1,819.70 | Facility | None | $234.42 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $501.19 Typical High $575.44 | Professional | None | $208.93 | $501.19 | $575.44 |
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 $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $138.04 Typical High $316.23 | Facility | None | $50.12 | $138.04 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $371.54 Typical High $446.68 | Professional | None | $213.80 | $371.54 | $446.68 |
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 $213.80 Median $245.47 Typical High $575.44 | Professional | None | $213.80 | $245.47 | $575.44 |
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 $104.71 Median $251.19 Typical High $288.40 | Professional | 52 · Reduced service | $104.71 | $251.19 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $102.33 Typical High $114.82 | Professional | 53 · Discontinued | $41.69 | $102.33 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $158.49 Median $380.19 Typical High $426.58 | Professional | 54 · Surgery only | $158.49 | $380.19 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $75.86 Typical High $85.11 | Professional | 55 · Aftercare only | $31.62 | $75.86 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $50.12 Typical High $57.54 | Professional | 56 · Pre-op care only | $20.89 | $50.12 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $147.91 Median $354.81 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $147.91 | $354.81 | $398.11 |
Where Mississippi sits
The same service costs 5.1 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· 18th of 51
$347
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.