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 $120.23 Median $776.25 Typical High $1,995.26 | Facility | None | $120.23 | $776.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $302.00 Typical High $501.19 | Professional | None | $120.23 | $302.00 | $501.19 |
BCBS Mississippi Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
BCBS Mississippi Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $89.13 Typical High $338.84 | Facility | None | $50.12 | $89.13 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $169.82 Typical High $309.03 | Professional | None | $128.82 | $169.82 | $309.03 |
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 $269.15 Typical High $1,096.48 | Facility | None | $91.20 | $269.15 | $1,096.48 |
United Setting Professional Modifier None Typical Low $107.15 Median $204.17 Typical High $436.52 | Professional | None | $107.15 | $204.17 | $436.52 |
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 $60.26 Median $147.91 Typical High $251.19 | Professional | 52 · Reduced service | $60.26 | $147.91 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $60.26 Typical High $100.00 | Professional | 53 · Discontinued | $24.55 | $60.26 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $223.87 Typical High $371.54 | Professional | 54 · Surgery only | $91.20 | $223.87 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $44.67 Typical High $74.13 | Professional | 55 · Aftercare only | $18.20 | $44.67 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $30.20 Typical High $50.12 | Professional | 56 · Pre-op care only | $12.02 | $30.20 | $50.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $85.11 Median $208.93 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $85.11 | $208.93 | $346.74 |
Where Mississippi sits
The same service costs 4.5 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· 22nd 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.