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 $954.99 Typical High $2,454.71 | Facility | None | $707.95 | $954.99 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $2,454.71 Typical High $2,454.71 | Professional | None | $954.99 | $2,454.71 | $2,454.71 |
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 $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,659.59 Typical High $2,630.27 | Facility | None | $660.69 | $1,659.59 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $1,479.11 Typical High $1,778.28 | Professional | None | $691.83 | $1,479.11 | $1,778.28 |
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 $891.25 Median $1,000.00 Typical High $1,905.46 | Professional | None | $891.25 | $1,000.00 | $1,905.46 |
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 $478.63 Median $1,230.27 Typical High $1,230.27 | Professional | 52 · Reduced service | $478.63 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $489.78 Typical High $489.78 | Professional | 53 · Discontinued | $190.55 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $1,819.70 Typical High $1,819.70 | Professional | 54 · Surgery only | $724.44 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $363.08 Typical High $363.08 | Professional | 55 · Aftercare only | $144.54 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $245.47 Typical High $245.47 | Professional | 56 · Pre-op care only | $95.50 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $1,698.24 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $676.08 | $1,698.24 | $1,698.24 |
Where Mississippi sits
The same service costs 6.3 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· 16th of 51
$1,660
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.