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 $776.25 Median $1,380.38 Typical High $2,818.38 | Facility | None | $776.25 | $1,380.38 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $2,344.23 Typical High $2,344.23 | Professional | None | $954.99 | $2,344.23 | $2,344.23 |
BCBS Mississippi Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $4,786.30 Typical High $7,585.78 | Facility | None | $891.25 | $4,786.30 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,584.89 Typical High $2,041.74 | Professional | None | $831.76 | $1,584.89 | $2,041.74 |
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 $1,380.38 Median $3,311.31 Typical High $15,848.93 | Facility | None | $1,380.38 | $3,311.31 | $15,848.93 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $2,570.40 | Professional | None | $1,071.52 | $1,174.90 | $2,570.40 |
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 $478.63 Median $1,174.90 Typical High $1,174.90 | Professional | 52 · Reduced service | $478.63 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $467.74 Typical High $467.74 | Professional | 53 · Discontinued | $190.55 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $1,737.80 Typical High $1,737.80 | Professional | 54 · Surgery only | $724.44 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $354.81 Typical High $354.81 | Professional | 55 · Aftercare only | $144.54 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $234.42 Typical High $234.42 | Professional | 56 · Pre-op care only | $95.50 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $1,621.81 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $676.08 | $1,621.81 | $1,621.81 |
Where Mississippi sits
The same service costs 8.7 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· 15th of 51
$1,995
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.