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 $776.25 Median $1,047.13 Typical High $1,995.26 | Facility | None | $776.25 | $1,047.13 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $2,041.74 Typical High $2,041.74 | Professional | None | $831.76 | $2,041.74 | $2,041.74 |
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 $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
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 $616.60 Median $1,023.29 Typical High $1,258.93 | Professional | None | $616.60 | $1,023.29 | $1,258.93 |
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 $724.44 Median $851.14 Typical High $1,949.84 | Professional | None | $724.44 | $851.14 | $1,949.84 |
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 $416.87 Median $1,023.29 Typical High $1,023.29 | Professional | 52 · Reduced service | $416.87 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $407.38 Typical High $407.38 | Professional | 53 · Discontinued | $165.96 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $1,548.82 Typical High $1,548.82 | Professional | 54 · Surgery only | $630.96 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $309.03 Typical High $309.03 | Professional | 55 · Aftercare only | $125.89 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $204.17 Typical High $204.17 | Professional | 56 · Pre-op care only | $83.18 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $1,445.44 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $588.84 | $1,445.44 | $1,445.44 |
Where Mississippi sits
The same service costs 7.4 times more in Oklahoma than in Texas. 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· 21st of 51
$1,318
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.