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 $537.03 Median $1,000.00 Typical High $1,995.26 | Facility | None | $537.03 | $1,000.00 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $1,174.90 Typical High $1,174.90 | Professional | None | $537.03 | $1,174.90 | $1,174.90 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $2,884.03 Typical High $5,888.44 | Facility | None | $794.33 | $2,884.03 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $912.01 Typical High $1,000.00 | Professional | None | $446.68 | $912.01 | $1,000.00 |
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 $1,380.38 Median $3,311.31 Typical High $10,964.78 | Facility | None | $1,380.38 | $3,311.31 | $10,964.78 |
United Setting Professional Modifier None Typical Low $549.54 Median $602.56 Typical High $1,479.11 | Professional | None | $549.54 | $602.56 | $1,479.11 |
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 $269.15 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $269.15 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $107.15 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $891.25 Typical High $891.25 | Professional | 54 · Surgery only | $407.38 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $177.83 Typical High $177.83 | Professional | 55 · Aftercare only | $81.28 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $53.70 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $831.76 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $380.19 | $831.76 | $831.76 |
Where Mississippi sits
The same service costs 8.1 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· 20th of 51
$1,023
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.