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 $213.80 Median $758.58 Typical High $1,819.70 | Facility | None | $213.80 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $436.52 Typical High $512.86 | Professional | None | $181.97 | $436.52 | $512.86 |
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 $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
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 $177.83 Median $295.12 Typical High $363.08 | Professional | None | $177.83 | $295.12 | $363.08 |
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 $158.49 Median $199.53 Typical High $426.58 | Professional | None | $158.49 | $199.53 | $426.58 |
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 $89.13 Median $218.78 Typical High $257.04 | Professional | 52 · Reduced service | $89.13 | $218.78 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $87.10 Typical High $102.33 | Professional | 53 · Discontinued | $36.31 | $87.10 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $323.59 Typical High $389.05 | Professional | 54 · Surgery only | $134.90 | $323.59 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $66.07 Typical High $77.62 | Professional | 55 · Aftercare only | $26.92 | $66.07 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $43.65 Typical High $51.29 | Professional | 56 · Pre-op care only | $18.20 | $43.65 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $302.00 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $125.89 | $302.00 | $363.08 |
Where Mississippi sits
The same service costs 5.0 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· 25th of 51
$263
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.