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 $588.84 Median $1,000.00 Typical High $1,995.26 | Facility | None | $588.84 | $1,000.00 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $1,513.56 Typical High $1,862.09 | Professional | None | $588.84 | $1,513.56 | $1,862.09 |
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 $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,202.26 Typical High $2,290.87 | Facility | None | $660.69 | $1,202.26 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $933.25 Typical High $1,047.13 | Professional | None | $489.78 | $933.25 | $1,047.13 |
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 $977.24 Median $1,737.80 Typical High $5,623.41 | Facility | None | $977.24 | $1,737.80 | $5,623.41 |
United Setting Professional Modifier None Typical Low $537.03 Median $660.69 Typical High $1,348.96 | Professional | None | $537.03 | $660.69 | $1,348.96 |
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 $295.12 Median $758.58 Typical High $933.25 | Professional | 52 · Reduced service | $295.12 | $758.58 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $302.00 Typical High $371.54 | Professional | 53 · Discontinued | $117.49 | $302.00 | $371.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $1,122.02 Typical High $1,380.38 | Professional | 54 · Surgery only | $436.52 | $1,122.02 | $1,380.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $223.87 Typical High $275.42 | Professional | 55 · Aftercare only | $87.10 | $223.87 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $151.36 Typical High $186.21 | Professional | 56 · Pre-op care only | $58.88 | $151.36 | $186.21 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $1,047.13 Typical High $1,288.25 | Professional | 78 · Unplanned return to OR | $407.38 | $1,047.13 | $1,288.25 |
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
$1,096
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.