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 $134.90 Median $758.58 Typical High $1,819.70 | Facility | None | $134.90 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $275.42 Typical High $331.13 | Professional | None | $114.82 | $275.42 | $331.13 |
BCBS Mississippi Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
BCBS Mississippi Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $177.83 Typical High $524.81 | Facility | None | $144.54 | $177.83 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $218.78 Typical High $263.03 | Professional | None | $147.91 | $218.78 | $263.03 |
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 $1,000.00 | Facility | None | $91.20 | $316.23 | $1,000.00 |
United Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $338.84 | Professional | None | $123.03 | $144.54 | $338.84 |
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 $57.54 Median $138.04 Typical High $165.96 | Professional | 52 · Reduced service | $57.54 | $138.04 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $54.95 Typical High $66.07 | Professional | 53 · Discontinued | $22.91 | $54.95 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $208.93 Typical High $245.47 | Professional | 54 · Surgery only | $87.10 | $208.93 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $41.69 Typical High $48.98 | Professional | 55 · Aftercare only | $17.38 | $41.69 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $27.54 Typical High $33.11 | Professional | 56 · Pre-op care only | $11.48 | $27.54 | $33.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $81.28 Median $194.98 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $81.28 | $194.98 | $229.09 |
Where Mississippi sits
The same service costs 3.8 times more in Alaska than in Delaware. 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· 14th of 51
$219
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.