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 $660.69 Median $1,000.00 Typical High $1,995.26 | Facility | None | $660.69 | $1,000.00 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $1,621.81 Typical High $1,621.81 | Professional | None | $660.69 | $1,621.81 | $1,621.81 |
BCBS Mississippi Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $3,019.95 Typical High $6,165.95 | Facility | None | $660.69 | $3,019.95 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $1,023.29 Typical High $1,380.38 | Professional | None | $575.44 | $1,023.29 | $1,380.38 |
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 $977.24 Median $1,737.80 Typical High $9,772.37 | Facility | None | $977.24 | $1,737.80 | $9,772.37 |
United Setting Professional Modifier None Typical Low $707.95 Median $794.33 Typical High $1,778.28 | Professional | None | $707.95 | $794.33 | $1,778.28 |
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 $331.13 Median $794.33 Typical High $794.33 | Professional | 52 · Reduced service | $331.13 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $323.59 Typical High $323.59 | Professional | 53 · Discontinued | $131.83 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $1,202.26 Typical High $1,202.26 | Professional | 54 · Surgery only | $489.78 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $239.88 Typical High $239.88 | Professional | 55 · Aftercare only | $100.00 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $162.18 Typical High $162.18 | Professional | 56 · Pre-op care only | $66.07 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $1,122.02 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $457.09 | $1,122.02 | $1,122.02 |
Where Mississippi sits
The same service costs 6.8 times more in Oklahoma than in Texas. 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· 13th of 51
$1,380
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.