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 $371.54 Median $758.58 Typical High $1,819.70 | Facility | None | $371.54 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $575.44 Typical High $870.96 | Professional | None | $245.47 | $575.44 | $870.96 |
BCBS Mississippi Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
BCBS Mississippi Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $281.84 Typical High $1,380.38 | Facility | None | $229.09 | $281.84 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $331.13 Typical High $501.19 | Professional | None | $229.09 | $331.13 | $501.19 |
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 $4,786.30 | Facility | None | $758.58 | $1,412.54 | $4,786.30 |
United Setting Professional Modifier None Typical Low $223.87 Median $338.84 Typical High $676.08 | Professional | None | $223.87 | $338.84 | $676.08 |
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 $120.23 Median $288.40 Typical High $436.52 | Professional | 52 · Reduced service | $120.23 | $288.40 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $114.82 Typical High $177.83 | Professional | 53 · Discontinued | $48.98 | $114.82 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $436.52 Typical High $660.69 | Professional | 54 · Surgery only | $181.97 | $436.52 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $87.10 Typical High $131.83 | Professional | 55 · Aftercare only | $36.31 | $87.10 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $57.54 Typical High $87.10 | Professional | 56 · Pre-op care only | $24.55 | $57.54 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $407.38 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $169.82 | $407.38 | $616.60 |
Where Mississippi sits
The same service costs 3.9 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· 14th of 51
$457
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.