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 $204.17 Median $758.58 Typical High $1,819.70 | Facility | None | $204.17 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $380.19 Typical High $501.19 | Professional | None | $158.49 | $380.19 | $501.19 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
BCBS Mississippi Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,659.59 Typical High $3,235.94 | Facility | None | $436.52 | $1,659.59 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $251.19 Typical High $380.19 | Professional | None | $181.97 | $251.19 | $380.19 |
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 $5,888.44 | Facility | None | $758.58 | $1,412.54 | $5,888.44 |
United Setting Professional Modifier None Typical Low $165.96 Median $204.17 Typical High $436.52 | Professional | None | $165.96 | $204.17 | $436.52 |
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 $79.43 Median $190.55 Typical High $245.47 | Professional | 52 · Reduced service | $79.43 | $190.55 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $77.62 Typical High $100.00 | Professional | 53 · Discontinued | $31.62 | $77.62 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $288.40 Typical High $371.54 | Professional | 54 · Surgery only | $117.49 | $288.40 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $57.54 Typical High $74.13 | Professional | 55 · Aftercare only | $23.44 | $57.54 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $38.02 Typical High $50.12 | Professional | 56 · Pre-op care only | $15.85 | $38.02 | $50.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $109.65 Median $269.15 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $109.65 | $269.15 | $346.74 |
Where Mississippi sits
The same service costs 4.4 times more in Alaska 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· 10th of 51
$372
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.