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 $229.09 Median $758.58 Typical High $1,819.70 | Facility | None | $229.09 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $234.42 Typical High $549.54 | Professional | None | $100.00 | $234.42 | $549.54 |
BCBS Mississippi Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
BCBS Mississippi Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $234.42 Typical High $524.81 | Facility | None | $190.55 | $234.42 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $173.78 Typical High $309.03 | Professional | None | $95.50 | $173.78 | $309.03 |
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 $2,570.40 | Facility | None | $467.74 | $758.58 | $2,570.40 |
United Setting Professional Modifier None Typical Low $89.13 Median $204.17 Typical High $416.87 | Professional | None | $89.13 | $204.17 | $416.87 |
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 $48.98 Median $117.49 Typical High $275.42 | Professional | 52 · Reduced service | $48.98 | $117.49 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $46.77 Typical High $109.65 | Professional | 53 · Discontinued | $19.95 | $46.77 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $74.13 Median $177.83 Typical High $407.38 | Professional | 54 · Surgery only | $74.13 | $177.83 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $35.48 Typical High $81.28 | Professional | 55 · Aftercare only | $14.79 | $35.48 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $23.44 Typical High $54.95 | Professional | 56 · Pre-op care only | $10.00 | $23.44 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $69.18 Median $165.96 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $69.18 | $165.96 | $380.19 |
Where Mississippi sits
The same service costs 5.6 times more in Alaska than in Kentucky. 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· 22nd of 51
$234
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.