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 $549.54 Median $891.25 Typical High $1,819.70 | Facility | None | $549.54 | $891.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $1,071.52 Typical High $1,318.26 | Professional | None | $416.87 | $1,071.52 | $1,318.26 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
BCBS Mississippi Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $912.01 Typical High $1,819.70 | Facility | None | $630.96 | $912.01 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $724.44 Typical High $794.33 | Professional | None | $338.84 | $724.44 | $794.33 |
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 $4,466.84 | Facility | None | $758.58 | $1,412.54 | $4,466.84 |
United Setting Professional Modifier None Typical Low $416.87 Median $489.78 Typical High $1,000.00 | Professional | None | $416.87 | $489.78 | $1,000.00 |
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 $208.93 Median $537.03 Typical High $660.69 | Professional | 52 · Reduced service | $208.93 | $537.03 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $218.78 Typical High $269.15 | Professional | 53 · Discontinued | $83.18 | $218.78 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $812.83 Typical High $1,000.00 | Professional | 54 · Surgery only | $316.23 | $812.83 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $162.18 Typical High $199.53 | Professional | 55 · Aftercare only | $63.10 | $162.18 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $107.15 Typical High $131.83 | Professional | 56 · Pre-op care only | $41.69 | $107.15 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $758.58 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $295.12 | $758.58 | $933.25 |
Where Mississippi sits
The same service costs 5.8 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· 11th of 51
$759
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.