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 $134.90 Median $776.25 Typical High $1,995.26 | Facility | None | $134.90 | $776.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $416.87 Typical High $616.60 | Professional | None | $134.90 | $416.87 | $616.60 |
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 $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
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 $154.88 Median $239.88 Typical High $389.05 | Professional | None | $154.88 | $239.88 | $389.05 |
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 $158.49 Median $251.19 Typical High $562.34 | Professional | None | $158.49 | $251.19 | $562.34 |
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 $67.61 Median $208.93 Typical High $309.03 | Professional | 52 · Reduced service | $67.61 | $208.93 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $83.18 Typical High $123.03 | Professional | 53 · Discontinued | $26.92 | $83.18 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $309.03 Typical High $457.09 | Professional | 54 · Surgery only | $100.00 | $309.03 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $61.66 Typical High $91.20 | Professional | 55 · Aftercare only | $20.42 | $61.66 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $41.69 Typical High $61.66 | Professional | 56 · Pre-op care only | $13.49 | $41.69 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $93.33 Median $288.40 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $93.33 | $288.40 | $426.58 |
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· 17th of 51
$288
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.