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 $162.18 Median $758.58 Typical High $1,819.70 | Facility | None | $162.18 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $309.03 Typical High $363.08 | Professional | None | $141.25 | $309.03 | $363.08 |
BCBS Mississippi Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
BCBS Mississippi Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $660.69 Typical High $1,258.93 | Facility | None | $436.52 | $660.69 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $234.42 Typical High $302.00 | Professional | None | $141.25 | $234.42 | $302.00 |
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 $467.74 Median $758.58 Typical High $2,951.21 | Facility | None | $467.74 | $758.58 | $2,951.21 |
United Setting Professional Modifier None Typical Low $134.90 Median $162.18 Typical High $363.08 | Professional | None | $134.90 | $162.18 | $363.08 |
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 $70.79 Median $154.88 Typical High $181.97 | Professional | 52 · Reduced service | $70.79 | $154.88 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $61.66 Typical High $72.44 | Professional | 53 · Discontinued | $28.18 | $61.66 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $234.42 Typical High $269.15 | Professional | 54 · Surgery only | $107.15 | $234.42 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $46.77 Typical High $53.70 | Professional | 55 · Aftercare only | $21.38 | $46.77 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $30.90 Typical High $36.31 | Professional | 56 · Pre-op care only | $14.13 | $30.90 | $36.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $100.00 Median $218.78 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $100.00 | $218.78 | $251.19 |
Where Mississippi sits
The same service costs 4.6 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· 19th of 51
$257
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.