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 $467.74 Median $1,148.15 Typical High $1,202.26 | Professional | None | $467.74 | $1,148.15 | $1,202.26 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
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 $2,089.30 Typical High $3,311.31 | Facility | None | $630.96 | $2,089.30 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $630.96 Typical High $691.83 | Professional | None | $363.08 | $630.96 | $691.83 |
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 $6,918.31 | Facility | None | $758.58 | $1,412.54 | $6,918.31 |
United Setting Professional Modifier None Typical Low $416.87 Median $524.81 Typical High $1,000.00 | Professional | None | $416.87 | $524.81 | $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 $234.42 Median $575.44 Typical High $602.56 | Professional | 52 · Reduced service | $234.42 | $575.44 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $229.09 Typical High $239.88 | Professional | 53 · Discontinued | $93.33 | $229.09 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $870.96 Typical High $912.01 | Professional | 54 · Surgery only | $346.74 | $870.96 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $173.78 Typical High $181.97 | Professional | 55 · Aftercare only | $69.18 | $173.78 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $114.82 Typical High $120.23 | Professional | 56 · Pre-op care only | $46.77 | $114.82 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $812.83 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $323.59 | $812.83 | $851.14 |
Where Mississippi sits
The same service costs 7.9 times more in Wyoming 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· 21st 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.