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 $257.04 Median $758.58 Typical High $1,819.70 | Facility | None | $257.04 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $562.34 Typical High $794.33 | Professional | None | $186.21 | $562.34 | $794.33 |
BCBS Mississippi Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
BCBS Mississippi Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $223.87 Typical High $794.33 | Facility | None | $177.83 | $223.87 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $316.23 Typical High $501.19 | Professional | None | $208.93 | $316.23 | $501.19 |
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 $338.84 Typical High $1,148.15 | Facility | None | $91.20 | $338.84 | $1,148.15 |
United Setting Professional Modifier None Typical Low $199.53 Median $346.74 Typical High $691.83 | Professional | None | $199.53 | $346.74 | $691.83 |
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 $93.33 Median $281.84 Typical High $398.11 | Professional | 52 · Reduced service | $93.33 | $281.84 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $114.82 Typical High $158.49 | Professional | 53 · Discontinued | $37.15 | $114.82 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $426.58 Typical High $588.84 | Professional | 54 · Surgery only | $138.04 | $426.58 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $85.11 Typical High $120.23 | Professional | 55 · Aftercare only | $27.54 | $85.11 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $56.23 Typical High $79.43 | Professional | 56 · Pre-op care only | $18.62 | $56.23 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $128.82 Median $398.11 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $128.82 | $398.11 | $549.54 |
Where Mississippi sits
The same service costs 3.7 times more in Wisconsin 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· 18th of 51
$380
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.