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 $549.54 Median $1,000.00 Typical High $1,995.26 | Facility | None | $549.54 | $1,000.00 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $1,621.81 Typical High $1,621.81 | Professional | None | $549.54 | $1,621.81 | $1,621.81 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,023.29 Typical High $1,949.84 | Facility | None | $660.69 | $1,023.29 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $912.01 Typical High $1,071.52 | Professional | None | $436.52 | $912.01 | $1,071.52 |
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 $1,148.15 Median $2,511.89 Typical High $6,760.83 | Facility | None | $1,148.15 | $2,511.89 | $6,760.83 |
United Setting Professional Modifier None Typical Low $524.81 Median $707.95 Typical High $1,258.93 | Professional | None | $524.81 | $707.95 | $1,258.93 |
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 $275.42 Median $812.83 Typical High $812.83 | Professional | 52 · Reduced service | $275.42 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $323.59 Typical High $323.59 | Professional | 53 · Discontinued | $109.65 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $1,202.26 Typical High $1,202.26 | Professional | 54 · Surgery only | $407.38 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $239.88 Typical High $239.88 | Professional | 55 · Aftercare only | $81.28 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $162.18 Typical High $162.18 | Professional | 56 · Pre-op care only | $54.95 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $1,122.02 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $380.19 | $1,122.02 | $1,122.02 |
Where Mississippi sits
The same service costs 5.2 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· 10th of 51
$1,148
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.