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 $758.58 Median $1,047.13 Typical High $1,995.26 | Facility | None | $758.58 | $1,047.13 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $1,513.56 Typical High $1,584.89 | Professional | None | $602.56 | $1,513.56 | $1,584.89 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,659.59 Typical High $3,311.31 | Facility | None | $794.33 | $1,659.59 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $851.14 Typical High $891.25 | Professional | None | $478.63 | $851.14 | $891.25 |
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 $7,244.36 | Facility | None | $977.24 | $1,737.80 | $7,244.36 |
United Setting Professional Modifier None Typical Low $537.03 Median $676.08 Typical High $1,348.96 | Professional | None | $537.03 | $676.08 | $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 $302.00 Median $758.58 Typical High $776.25 | Professional | 52 · Reduced service | $302.00 | $758.58 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $302.00 Typical High $316.23 | Professional | 53 · Discontinued | $120.23 | $302.00 | $316.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $1,122.02 Typical High $1,174.90 | Professional | 54 · Surgery only | $457.09 | $1,122.02 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $223.87 Typical High $234.42 | Professional | 55 · Aftercare only | $91.20 | $223.87 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $151.36 Typical High $158.49 | Professional | 56 · Pre-op care only | $60.26 | $151.36 | $158.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $1,047.13 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $426.58 | $1,047.13 | $1,096.48 |
Where Mississippi sits
The same service costs 8.5 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· 18th of 51
$1,023
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.