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 $707.95 Median $851.14 Typical High $1,995.26 | Facility | None | $707.95 | $851.14 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $1,949.84 Typical High $1,949.84 | Professional | None | $758.58 | $1,949.84 | $1,949.84 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,659.59 Typical High $3,311.31 | Facility | None | $660.69 | $1,659.59 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $1,174.90 Typical High $1,380.38 | Professional | None | $549.54 | $1,174.90 | $1,380.38 |
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 $1,122.02 Median $2,511.89 Typical High $7,244.36 | Facility | None | $1,122.02 | $2,511.89 | $7,244.36 |
United Setting Professional Modifier None Typical Low $707.95 Median $812.83 Typical High $1,548.82 | Professional | None | $707.95 | $812.83 | $1,548.82 |
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 $380.19 Median $977.24 Typical High $977.24 | Professional | 52 · Reduced service | $380.19 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $389.05 Typical High $389.05 | Professional | 53 · Discontinued | $154.88 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $1,479.11 Typical High $1,479.11 | Professional | 54 · Surgery only | $575.44 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $295.12 Typical High $295.12 | Professional | 55 · Aftercare only | $114.82 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $194.98 Typical High $194.98 | Professional | 56 · Pre-op care only | $75.86 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $1,380.38 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $537.03 | $1,380.38 | $1,380.38 |
Where Mississippi sits
The same service costs 7.9 times more in Oklahoma 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· 17th of 51
$1,380
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.