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 $181.97 Median $758.58 Typical High $1,819.70 | Facility | None | $181.97 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $275.42 Typical High $446.68 | Professional | None | $112.20 | $275.42 | $446.68 |
BCBS Mississippi Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
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 $50.12 Median $131.83 Typical High $302.00 | Facility | None | $50.12 | $131.83 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $165.96 Typical High $275.42 | Professional | None | $117.49 | $165.96 | $275.42 |
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 $97.72 Median $165.96 Typical High $371.54 | Professional | None | $97.72 | $165.96 | $371.54 |
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 $56.23 Median $138.04 Typical High $223.87 | Professional | 52 · Reduced service | $56.23 | $138.04 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $54.95 Typical High $89.13 | Professional | 53 · Discontinued | $22.39 | $54.95 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $208.93 Typical High $338.84 | Professional | 54 · Surgery only | $85.11 | $208.93 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $41.69 Typical High $67.61 | Professional | 55 · Aftercare only | $16.98 | $41.69 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $27.54 Typical High $44.67 | Professional | 56 · Pre-op care only | $11.22 | $27.54 | $44.67 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $79.43 Median $194.98 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $79.43 | $194.98 | $316.23 |
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· 18th of 51
$209
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.