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 $223.87 Median $758.58 Typical High $1,819.70 | Facility | None | $223.87 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $398.11 Typical High $575.44 | Professional | None | $177.83 | $398.11 | $575.44 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
BCBS Mississippi Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,071.52 Typical High $2,187.76 | Facility | None | $436.52 | $1,071.52 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $302.00 Typical High $389.05 | Professional | None | $165.96 | $302.00 | $389.05 |
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 $758.58 Typical High $3,548.13 | Facility | None | $467.74 | $758.58 | $3,548.13 |
United Setting Professional Modifier None Typical Low $162.18 Median $208.93 Typical High $416.87 | Professional | None | $162.18 | $208.93 | $416.87 |
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 $89.13 Median $223.87 Typical High $281.84 | Professional | 52 · Reduced service | $89.13 | $223.87 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $89.13 Typical High $114.82 | Professional | 53 · Discontinued | $35.48 | $89.13 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $338.84 Typical High $426.58 | Professional | 54 · Surgery only | $131.83 | $338.84 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $67.61 Typical High $85.11 | Professional | 55 · Aftercare only | $26.30 | $67.61 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $44.67 Typical High $57.54 | Professional | 56 · Pre-op care only | $17.78 | $44.67 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $123.03 Median $316.23 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $123.03 | $316.23 | $398.11 |
Where Mississippi sits
The same service costs 4.6 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· 9th of 51
$372
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.