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 $1,096.48 Typical High $2,818.38 | Facility | None | $758.58 | $1,096.48 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $1,230.27 Typical High $1,230.27 | Professional | None | $501.19 | $1,230.27 | $1,230.27 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,187.76 Typical High $4,466.84 | Facility | None | $891.25 | $2,187.76 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $794.33 Typical High $1,047.13 | Professional | None | $436.52 | $794.33 | $1,047.13 |
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 $1,122.02 Median $2,511.89 Typical High $9,332.54 | Facility | None | $1,122.02 | $2,511.89 | $9,332.54 |
United Setting Professional Modifier None Typical Low $537.03 Median $602.56 Typical High $1,258.93 | Professional | None | $537.03 | $602.56 | $1,258.93 |
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 $251.19 Median $616.60 Typical High $616.60 | Professional | 52 · Reduced service | $251.19 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $245.47 Typical High $245.47 | Professional | 53 · Discontinued | $100.00 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $912.01 Typical High $912.01 | Professional | 54 · Surgery only | $380.19 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $181.97 Typical High $181.97 | Professional | 55 · Aftercare only | $75.86 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $123.03 Typical High $123.03 | Professional | 56 · Pre-op care only | $50.12 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $851.14 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $354.81 | $851.14 | $851.14 |
Where Mississippi sits
The same service costs 6.9 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· 11th of 51
$1,202
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.