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 $758.58 Median $1,047.13 Typical High $1,995.26 | Facility | None | $758.58 | $1,047.13 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $1,778.28 Typical High $1,778.28 | Professional | None | $707.95 | $1,778.28 | $1,778.28 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,023.29 Typical High $1,949.84 | Facility | None | $660.69 | $1,023.29 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $1,096.48 Typical High $1,318.26 | Professional | None | $512.86 | $1,096.48 | $1,318.26 |
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 $645.65 Median $758.58 Typical High $1,412.54 | Professional | None | $645.65 | $758.58 | $1,412.54 |
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 $354.81 Median $891.25 Typical High $891.25 | Professional | 52 · Reduced service | $354.81 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $363.08 Typical High $363.08 | Professional | 53 · Discontinued | $141.25 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $1,348.96 Typical High $1,348.96 | Professional | 54 · Surgery only | $524.81 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $269.15 Typical High $269.15 | Professional | 55 · Aftercare only | $104.71 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $177.83 Typical High $177.83 | Professional | 56 · Pre-op care only | $70.79 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $1,258.93 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $489.78 | $1,258.93 | $1,258.93 |
Where Mississippi sits
The same service costs 6.0 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· 15th of 51
$1,148
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.