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 $104.71 Median $776.25 Typical High $1,995.26 | Facility | None | $104.71 | $776.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $257.04 Typical High $371.54 | Professional | None | $104.71 | $257.04 | $371.54 |
BCBS Mississippi Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
BCBS Mississippi Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $131.83 Typical High $524.81 | Facility | None | $107.15 | $131.83 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $151.36 Typical High $251.19 | Professional | None | $109.65 | $151.36 | $251.19 |
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 $467.74 Median $758.58 Typical High $2,951.21 | Facility | None | $467.74 | $758.58 | $2,951.21 |
United Setting Professional Modifier None Typical Low $93.33 Median $138.04 Typical High $309.03 | Professional | None | $93.33 | $138.04 | $309.03 |
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 $52.48 Median $128.82 Typical High $186.21 | Professional | 52 · Reduced service | $52.48 | $128.82 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $51.29 Typical High $74.13 | Professional | 53 · Discontinued | $20.89 | $51.29 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $194.98 Typical High $275.42 | Professional | 54 · Surgery only | $79.43 | $194.98 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $38.90 Typical High $54.95 | Professional | 55 · Aftercare only | $15.85 | $38.90 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $25.70 Typical High $37.15 | Professional | 56 · Pre-op care only | $10.47 | $25.70 | $37.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $74.13 Median $181.97 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $74.13 | $181.97 | $257.04 |
Where Mississippi sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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· 10th of 51
$224
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.