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 $630.96 Median $891.25 Typical High $1,995.26 | Facility | None | $630.96 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $891.25 Typical High $891.25 | Professional | None | $363.08 | $891.25 | $891.25 |
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 $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
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 $338.84 Median $562.34 Typical High $758.58 | Professional | None | $338.84 | $562.34 | $758.58 |
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 $6,165.95 | Facility | None | $758.58 | $1,412.54 | $6,165.95 |
United Setting Professional Modifier None Typical Low $380.19 Median $436.52 Typical High $891.25 | Professional | None | $380.19 | $436.52 | $891.25 |
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 $181.97 Median $446.68 Typical High $446.68 | Professional | 52 · Reduced service | $181.97 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $72.44 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $660.69 Typical High $660.69 | Professional | 54 · Surgery only | $275.42 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $131.83 Typical High $131.83 | Professional | 55 · Aftercare only | $54.95 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $89.13 Typical High $89.13 | Professional | 56 · Pre-op care only | $36.31 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $616.60 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $257.04 | $616.60 | $616.60 |
Where Mississippi sits
The same service costs 10.2 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· 13th of 51
$832
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.