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 $1,148.15 Typical High $2,818.38 | Facility | None | $758.58 | $1,148.15 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $1,122.02 Typical High $1,122.02 | Professional | None | $436.52 | $1,122.02 | $1,122.02 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
BCBS Mississippi Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $3,019.95 Typical High $5,888.44 | Facility | None | $1,737.80 | $3,019.95 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $676.08 Typical High $794.33 | Professional | None | $338.84 | $676.08 | $794.33 |
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 $1,380.38 Median $3,311.31 Typical High $10,964.78 | Facility | None | $1,380.38 | $3,311.31 | $10,964.78 |
United Setting Professional Modifier None Typical Low $398.11 Median $457.09 Typical High $870.96 | Professional | None | $398.11 | $457.09 | $870.96 |
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 $218.78 Median $562.34 Typical High $562.34 | Professional | 52 · Reduced service | $218.78 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $223.87 Typical High $223.87 | Professional | 53 · Discontinued | $89.13 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $851.14 Typical High $851.14 | Professional | 54 · Surgery only | $331.13 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $169.82 Typical High $169.82 | Professional | 55 · Aftercare only | $66.07 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $112.20 Typical High $112.20 | Professional | 56 · Pre-op care only | $43.65 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $794.33 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $309.03 | $794.33 | $794.33 |
Where Mississippi sits
The same service costs 9.5 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· 18th of 51
$776
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.