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 $173.78 Median $758.58 Typical High $1,819.70 | Facility | None | $173.78 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $457.09 Typical High $512.86 | Professional | None | $154.88 | $457.09 | $512.86 |
BCBS Mississippi Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
BCBS Mississippi Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $102.33 Typical High $1,047.13 | Facility | None | $83.18 | $102.33 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $295.12 Typical High $331.13 | Professional | None | $154.88 | $295.12 | $331.13 |
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 $4,466.84 | Facility | None | $758.58 | $1,412.54 | $4,466.84 |
United Setting Professional Modifier None Typical Low $158.49 Median $208.93 Typical High $398.11 | Professional | None | $158.49 | $208.93 | $398.11 |
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 $77.62 Median $229.09 Typical High $257.04 | Professional | 52 · Reduced service | $77.62 | $229.09 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $91.20 Typical High $104.71 | Professional | 53 · Discontinued | $30.90 | $91.20 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $346.74 Typical High $389.05 | Professional | 54 · Surgery only | $117.49 | $346.74 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $69.18 Typical High $77.62 | Professional | 55 · Aftercare only | $23.44 | $69.18 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $45.71 Typical High $51.29 | Professional | 56 · Pre-op care only | $15.49 | $45.71 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $109.65 Median $323.59 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $109.65 | $323.59 | $363.08 |
Where Mississippi sits
The same service costs 4.9 times more in Oklahoma than in Florida. 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
$324
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.