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 $724.44 Median $1,000.00 Typical High $2,818.38 | Facility | None | $724.44 | $1,000.00 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $1,621.81 Typical High $3,388.44 | Professional | None | $724.44 | $1,621.81 | $3,388.44 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
BCBS Mississippi Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,548.82 Typical High $3,162.28 | Facility | None | $660.69 | $1,548.82 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $891.25 Typical High $1,174.90 | Professional | None | $524.81 | $891.25 | $1,174.90 |
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 $977.24 Median $1,737.80 Typical High $6,456.54 | Facility | None | $977.24 | $1,737.80 | $6,456.54 |
United Setting Professional Modifier None Typical Low $549.54 Median $660.69 Typical High $1,479.11 | Professional | None | $549.54 | $660.69 | $1,479.11 |
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 $363.08 Median $812.83 Typical High $1,698.24 | Professional | 52 · Reduced service | $363.08 | $812.83 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $323.59 Typical High $676.08 | Professional | 53 · Discontinued | $147.91 | $323.59 | $676.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $1,202.26 Typical High $2,570.40 | Professional | 54 · Surgery only | $549.54 | $1,202.26 | $2,570.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $245.47 Typical High $512.86 | Professional | 55 · Aftercare only | $109.65 | $245.47 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $162.18 Typical High $338.84 | Professional | 56 · Pre-op care only | $72.44 | $162.18 | $338.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $1,122.02 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $512.86 | $1,122.02 | $2,398.83 |
Where Mississippi sits
The same service costs 6.8 times more in Oklahoma 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· 36th of 51
$977
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.