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 $138.04 Median $758.58 Typical High $1,819.70 | Facility | None | $138.04 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $234.42 Typical High $331.13 | Professional | None | $97.72 | $234.42 | $331.13 |
BCBS Mississippi Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
BCBS Mississippi Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $104.71 Typical High $1,047.13 | Facility | None | $85.11 | $104.71 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $169.82 Typical High $257.04 | Professional | None | $123.03 | $169.82 | $257.04 |
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 $107.15 Median $141.25 Typical High $295.12 | Professional | None | $107.15 | $141.25 | $295.12 |
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 $48.98 Median $117.49 Typical High $165.96 | Professional | 52 · Reduced service | $48.98 | $117.49 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $46.77 Typical High $67.61 | Professional | 53 · Discontinued | $19.50 | $46.77 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $177.83 Typical High $251.19 | Professional | 54 · Surgery only | $72.44 | $177.83 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $35.48 Typical High $50.12 | Professional | 55 · Aftercare only | $14.45 | $35.48 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $23.44 Typical High $33.11 | Professional | 56 · Pre-op care only | $9.77 | $23.44 | $33.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $67.61 Median $165.96 Typical High $234.42 | Professional | 78 · Unplanned return to OR | $67.61 | $165.96 | $234.42 |
Where Mississippi sits
The same service costs 3.6 times more in Wisconsin 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· 19th of 51
$209
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.