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 $288.40 Median $1,000.00 Typical High $2,818.38 | Facility | None | $288.40 | $1,000.00 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $645.65 Typical High $724.44 | Professional | None | $288.40 | $645.65 | $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 $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,659.59 Typical High $3,311.31 | Facility | None | $891.25 | $1,659.59 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $489.78 Typical High $660.69 | Professional | None | $331.13 | $489.78 | $660.69 |
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 $338.84 Median $380.19 Typical High $776.25 | Professional | None | $338.84 | $380.19 | $776.25 |
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 $125.89 Median $323.59 Typical High $363.08 | Professional | 52 · Reduced service | $125.89 | $323.59 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $128.82 Typical High $144.54 | Professional | 53 · Discontinued | $51.29 | $128.82 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $478.63 Typical High $537.03 | Professional | 54 · Surgery only | $190.55 | $478.63 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $95.50 Typical High $109.65 | Professional | 55 · Aftercare only | $38.02 | $95.50 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $64.57 Typical High $72.44 | Professional | 56 · Pre-op care only | $25.12 | $64.57 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $177.83 Median $446.68 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $177.83 | $446.68 | $501.19 |
Where Mississippi sits
The same service costs 3.8 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· 15th of 51
$617
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.