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 $707.95 Median $1,000.00 Typical High $1,995.26 | Facility | None | $707.95 | $1,000.00 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $478.63 Typical High $707.95 | Professional | None | $229.09 | $478.63 | $707.95 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,584.89 | Facility | None | $1,445.44 | $1,445.44 | $1,584.89 |
BCBS Mississippi Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,412.54 Typical High $2,884.03 | Facility | None | $794.33 | $1,412.54 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $323.59 Typical High $371.54 | Professional | None | $229.09 | $323.59 | $371.54 |
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 $758.58 Median $1,412.54 Typical High $6,025.60 | Facility | None | $758.58 | $1,412.54 | $6,025.60 |
United Setting Professional Modifier None Typical Low $218.78 Median $251.19 Typical High $616.60 | Professional | None | $218.78 | $251.19 | $616.60 |
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 $114.82 Median $239.88 Typical High $346.74 | Professional | 52 · Reduced service | $114.82 | $239.88 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $95.50 Typical High $141.25 | Professional | 53 · Discontinued | $45.71 | $95.50 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $363.08 Typical High $524.81 | Professional | 54 · Surgery only | $169.82 | $363.08 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $72.44 Typical High $104.71 | Professional | 55 · Aftercare only | $33.88 | $72.44 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $47.86 Typical High $70.79 | Professional | 56 · Pre-op care only | $22.91 | $47.86 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $158.49 Median $338.84 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $158.49 | $338.84 | $489.78 |
Where Mississippi sits
The same service costs 6.0 times more in Alaska than in Utah. 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
$347
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.