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 $79.43 Median $776.25 Typical High $1,995.26 | Facility | None | $79.43 | $776.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $190.55 Typical High $229.09 | Professional | None | $79.43 | $190.55 | $229.09 |
BCBS Mississippi Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
BCBS Mississippi Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $89.13 Typical High $338.84 | Facility | None | $50.12 | $89.13 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $134.90 Typical High $158.49 | Professional | None | $70.79 | $134.90 | $158.49 |
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 $91.20 Median $363.08 Typical High $1,174.90 | Facility | None | $91.20 | $363.08 | $1,174.90 |
United Setting Professional Modifier None Typical Low $70.79 Median $102.33 Typical High $223.87 | Professional | None | $70.79 | $102.33 | $223.87 |
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 $39.81 Median $95.50 Typical High $112.20 | Professional | 52 · Reduced service | $39.81 | $95.50 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $38.02 Typical High $45.71 | Professional | 53 · Discontinued | $16.22 | $38.02 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $144.54 Typical High $169.82 | Professional | 54 · Surgery only | $60.26 | $144.54 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $28.84 Typical High $33.88 | Professional | 55 · Aftercare only | $12.02 | $28.84 | $33.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $19.05 Typical High $22.91 | Professional | 56 · Pre-op care only | $7.94 | $19.05 | $22.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $56.23 Median $134.90 Typical High $158.49 | Professional | 78 · Unplanned return to OR | $56.23 | $134.90 | $158.49 |
Where Mississippi sits
The same service costs 4.2 times more in Alaska than in Florida. 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· 13th of 51
$145
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.