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 $416.87 Median $776.25 Typical High $1,819.70 | Facility | None | $416.87 | $776.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $724.44 Typical High $724.44 | Professional | None | $302.00 | $724.44 | $724.44 |
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 $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
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 $263.03 Median $426.58 Typical High $588.84 | Professional | None | $263.03 | $426.58 | $588.84 |
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 $288.40 Median $331.13 Typical High $676.08 | Professional | None | $288.40 | $331.13 | $676.08 |
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 $147.91 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $147.91 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $60.26 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $549.54 Typical High $549.54 | Professional | 54 · Surgery only | $223.87 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $109.65 Typical High $109.65 | Professional | 55 · Aftercare only | $44.67 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $30.20 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $208.93 Median $512.86 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $208.93 | $512.86 | $512.86 |
Where Mississippi sits
The same service costs 8.5 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· 25th of 51
$525
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.