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 $162.18 Median $758.58 Typical High $1,819.70 | Facility | None | $162.18 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $331.13 Typical High $398.11 | Professional | None | $138.04 | $331.13 | $398.11 |
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 $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
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 $158.49 Median $239.88 Typical High $295.12 | Professional | None | $158.49 | $239.88 | $295.12 |
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 $138.04 Median $162.18 Typical High $363.08 | Professional | None | $138.04 | $162.18 | $363.08 |
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 $69.18 Median $165.96 Typical High $194.98 | Professional | 52 · Reduced service | $69.18 | $165.96 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $66.07 Typical High $79.43 | Professional | 53 · Discontinued | $27.54 | $66.07 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $251.19 Typical High $295.12 | Professional | 54 · Surgery only | $102.33 | $251.19 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $50.12 Typical High $58.88 | Professional | 55 · Aftercare only | $20.42 | $50.12 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $33.11 Typical High $39.81 | Professional | 56 · Pre-op care only | $13.80 | $33.11 | $39.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $95.50 Median $234.42 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $95.50 | $234.42 | $275.42 |
Where Mississippi sits
The same service costs 4.6 times more in Alaska than in Florida. 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
$229
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.