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 $107.15 Median $776.25 Typical High $1,995.26 | Facility | None | $107.15 | $776.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $275.42 Typical High $363.08 | Professional | None | $107.15 | $275.42 | $363.08 |
BCBS Mississippi Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
BCBS Mississippi Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $89.13 Typical High $338.84 | Facility | None | $50.12 | $89.13 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $177.83 Typical High $234.42 | Professional | None | $107.15 | $177.83 | $234.42 |
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 $363.08 Typical High $1,148.15 | Facility | None | $91.20 | $363.08 | $1,148.15 |
United Setting Professional Modifier None Typical Low $97.72 Median $123.03 Typical High $251.19 | Professional | None | $97.72 | $123.03 | $251.19 |
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 $53.70 Median $138.04 Typical High $181.97 | Professional | 52 · Reduced service | $53.70 | $138.04 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $54.95 Typical High $72.44 | Professional | 53 · Discontinued | $21.88 | $54.95 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $208.93 Typical High $275.42 | Professional | 54 · Surgery only | $81.28 | $208.93 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $41.69 Typical High $54.95 | Professional | 55 · Aftercare only | $16.22 | $41.69 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $27.54 Typical High $36.31 | Professional | 56 · Pre-op care only | $10.72 | $27.54 | $36.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $75.86 Median $194.98 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $75.86 | $194.98 | $257.04 |
Where Mississippi sits
The same service costs 4.2 times more in Alaska than in Kentucky. 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· 13th of 51
$195
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.