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 $616.60 Median $1,000.00 Typical High $1,995.26 | Facility | None | $616.60 | $1,000.00 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $1,174.90 Typical High $1,513.56 | Professional | None | $478.63 | $1,174.90 | $1,513.56 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $2,884.03 Typical High $5,888.44 | Facility | None | $794.33 | $2,884.03 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $660.69 Typical High $954.99 | Professional | None | $446.68 | $660.69 | $954.99 |
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 $1,122.02 Median $2,511.89 Typical High $10,232.93 | Facility | None | $1,122.02 | $2,511.89 | $10,232.93 |
United Setting Professional Modifier None Typical Low $457.09 Median $602.56 Typical High $1,318.26 | Professional | None | $457.09 | $602.56 | $1,318.26 |
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 $239.88 Median $588.84 Typical High $758.58 | Professional | 52 · Reduced service | $239.88 | $588.84 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $234.42 Typical High $302.00 | Professional | 53 · Discontinued | $95.50 | $234.42 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $891.25 Typical High $1,148.15 | Professional | 54 · Surgery only | $363.08 | $891.25 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $177.83 Typical High $229.09 | Professional | 55 · Aftercare only | $72.44 | $177.83 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $117.49 Typical High $151.36 | Professional | 56 · Pre-op care only | $47.86 | $117.49 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $831.76 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $338.84 | $831.76 | $1,071.52 |
Where Mississippi sits
The same service costs 5.0 times more in Alaska than in Utah. 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· 12th of 51
$1,023
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.