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 $107.15 Median $758.58 Typical High $1,819.70 | Facility | None | $107.15 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $229.09 Typical High $257.04 | Professional | None | $95.50 | $229.09 | $257.04 |
BCBS Mississippi Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
BCBS Mississippi Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $87.10 Typical High $199.53 | Facility | None | $50.12 | $87.10 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $165.96 Typical High $199.53 | Professional | None | $107.15 | $165.96 | $199.53 |
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 $93.33 Median $107.15 Typical High $245.47 | Professional | None | $93.33 | $107.15 | $245.47 |
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 $46.77 Median $114.82 Typical High $128.82 | Professional | 52 · Reduced service | $46.77 | $114.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $45.71 Typical High $51.29 | Professional | 53 · Discontinued | $19.05 | $45.71 | $51.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $169.82 Typical High $194.98 | Professional | 54 · Surgery only | $70.79 | $169.82 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $34.67 Typical High $38.90 | Professional | 55 · Aftercare only | $14.13 | $34.67 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $22.91 Typical High $25.70 | Professional | 56 · Pre-op care only | $9.33 | $22.91 | $25.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $66.07 Median $158.49 Typical High $181.97 | Professional | 78 · Unplanned return to OR | $66.07 | $158.49 | $181.97 |
Where Mississippi sits
The same service costs 4.5 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· 15th of 51
$166
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.