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 $416.87 Median $891.25 Typical High $1,819.70 | Facility | None | $416.87 | $891.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $794.33 Typical High $1,174.90 | Professional | None | $380.19 | $794.33 | $1,174.90 |
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 $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $131.83 Typical High $251.19 | Facility | None | $50.12 | $131.83 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $537.03 Typical High $630.96 | Professional | None | $380.19 | $537.03 | $630.96 |
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 $363.08 Median $426.58 Typical High $1,000.00 | Professional | None | $363.08 | $426.58 | $1,000.00 |
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 $190.55 Median $398.11 Typical High $588.84 | Professional | 52 · Reduced service | $190.55 | $398.11 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $162.18 Typical High $234.42 | Professional | 53 · Discontinued | $75.86 | $162.18 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $602.56 Typical High $870.96 | Professional | 54 · Surgery only | $288.40 | $602.56 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $120.23 Typical High $173.78 | Professional | 55 · Aftercare only | $57.54 | $120.23 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $79.43 Typical High $117.49 | Professional | 56 · Pre-op care only | $38.02 | $79.43 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $562.34 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $269.15 | $562.34 | $812.83 |
Where Mississippi sits
The same service costs 4.2 times more in Wyoming 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· 20th of 51
$550
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.