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 $467.74 Median $1,000.00 Typical High $1,995.26 | Facility | None | $467.74 | $1,000.00 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $831.76 Typical High $1,174.90 | Professional | None | $467.74 | $831.76 | $1,174.90 |
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 $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,659.59 Typical High $3,162.28 | Facility | None | $794.33 | $1,659.59 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $707.95 Typical High $831.76 | Professional | None | $338.84 | $707.95 | $831.76 |
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 $6,456.54 | Facility | None | $758.58 | $1,412.54 | $6,456.54 |
United Setting Professional Modifier None Typical Low $426.58 Median $489.78 Typical High $933.25 | Professional | None | $426.58 | $489.78 | $933.25 |
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 $234.42 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $234.42 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $93.33 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $891.25 Typical High $891.25 | Professional | 54 · Surgery only | $346.74 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $177.83 Typical High $177.83 | Professional | 55 · Aftercare only | $69.18 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $46.77 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $831.76 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $323.59 | $831.76 | $831.76 |
Where Mississippi sits
The same service costs 8.7 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
$832
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.