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 $245.47 Median $602.56 Typical High $602.56 | Professional | None | $245.47 | $602.56 | $602.56 |
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 $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,659.59 Typical High $3,235.94 | Facility | None | $660.69 | $1,659.59 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $389.05 Typical High $512.86 | Professional | None | $223.87 | $389.05 | $512.86 |
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 $269.15 Median $295.12 Typical High $630.96 | Professional | None | $269.15 | $295.12 | $630.96 |
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 $123.03 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $123.03 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $48.98 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $446.68 Typical High $446.68 | Professional | 54 · Surgery only | $186.21 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $91.20 Typical High $91.20 | Professional | 55 · Aftercare only | $37.15 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $60.26 Typical High $60.26 | Professional | 56 · Pre-op care only | $24.55 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $416.87 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $173.78 | $416.87 | $416.87 |
Where Mississippi sits
The same service costs 6.0 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· 16th of 51
$537
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.