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 $263.03 Median $758.58 Typical High $1,819.70 | Facility | None | $263.03 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $575.44 Typical High $812.83 | Professional | None | $186.21 | $575.44 | $812.83 |
BCBS Mississippi Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
BCBS Mississippi Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $338.84 Typical High $691.83 | Facility | None | $275.42 | $338.84 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $316.23 Typical High $501.19 | Professional | None | $213.80 | $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 $213.80 Median $323.59 Typical High $741.31 | Professional | None | $213.80 | $323.59 | $741.31 |
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 $288.40 Typical High $407.38 | Professional | 52 · Reduced service | $93.33 | $288.40 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $114.82 Typical High $162.18 | Professional | 53 · Discontinued | $37.15 | $114.82 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $426.58 Typical High $616.60 | Professional | 54 · Surgery only | $141.25 | $426.58 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $85.11 Typical High $123.03 | Professional | 55 · Aftercare only | $28.18 | $85.11 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $57.54 Typical High $81.28 | Professional | 56 · Pre-op care only | $18.62 | $57.54 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $131.83 Median $398.11 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $131.83 | $398.11 | $575.44 |
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· 26th of 51
$372
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.