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 $630.96 Median $891.25 Typical High $1,995.26 | Facility | None | $630.96 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $1,348.96 Typical High $1,348.96 | Professional | None | $616.60 | $1,348.96 | $1,348.96 |
BCBS Mississippi Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $676.08 Typical High $1,548.82 | Facility | None | $588.84 | $676.08 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $912.01 Typical High $1,047.13 | Professional | None | $489.78 | $912.01 | $1,047.13 |
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 $2,951.21 | Facility | None | $467.74 | $758.58 | $2,951.21 |
United Setting Professional Modifier None Typical Low $616.60 Median $691.83 Typical High $1,412.54 | Professional | None | $616.60 | $691.83 | $1,412.54 |
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 $309.03 Median $676.08 Typical High $676.08 | Professional | 52 · Reduced service | $309.03 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $269.15 Typical High $269.15 | Professional | 53 · Discontinued | $123.03 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $1,000.00 Typical High $1,000.00 | Professional | 54 · Surgery only | $467.74 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $199.53 Typical High $199.53 | Professional | 55 · Aftercare only | $93.33 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $134.90 Typical High $134.90 | Professional | 56 · Pre-op care only | $61.66 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $933.25 Typical High $933.25 | Professional | 78 · Unplanned return to OR | $436.52 | $933.25 | $933.25 |
Where Mississippi sits
The same service costs 5.9 times more in Alaska 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· 28th of 51
$912
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.