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 $398.11 Median $1,000.00 Typical High $1,995.26 | Facility | None | $398.11 | $1,000.00 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $851.14 Typical High $1,230.27 | Professional | None | $398.11 | $851.14 | $1,230.27 |
BCBS Mississippi Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,000.00 Typical High $1,202.26 | Facility | None | $660.69 | $1,000.00 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $660.69 Typical High $776.25 | Professional | None | $407.38 | $660.69 | $776.25 |
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 $467.74 Median $707.95 Typical High $2,454.71 | Facility | None | $467.74 | $707.95 | $2,454.71 |
United Setting Professional Modifier None Typical Low $389.05 Median $457.09 Typical High $1,096.48 | Professional | None | $389.05 | $457.09 | $1,096.48 |
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 $199.53 Median $416.87 Typical High $616.60 | Professional | 52 · Reduced service | $199.53 | $416.87 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $169.82 Typical High $245.47 | Professional | 53 · Discontinued | $79.43 | $169.82 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $630.96 Typical High $912.01 | Professional | 54 · Surgery only | $302.00 | $630.96 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $125.89 Typical High $181.97 | Professional | 55 · Aftercare only | $60.26 | $125.89 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $85.11 Typical High $123.03 | Professional | 56 · Pre-op care only | $39.81 | $85.11 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $588.84 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $281.84 | $588.84 | $851.14 |
Where Mississippi sits
The same service costs 5.5 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· 16th of 51
$661
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.