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 $616.60 Median $891.25 Typical High $1,862.09 | Facility | None | $616.60 | $891.25 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $1,230.27 Typical High $1,862.09 | Professional | None | $724.44 | $1,230.27 | $1,862.09 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,071.52 Typical High $2,187.76 | Facility | None | $630.96 | $1,071.52 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $1,148.15 Typical High $1,380.38 | Professional | None | $660.69 | $1,148.15 | $1,380.38 |
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 $3,548.13 | Facility | None | $467.74 | $758.58 | $3,548.13 |
United Setting Professional Modifier None Typical Low $794.33 Median $954.99 Typical High $1,862.09 | Professional | None | $794.33 | $954.99 | $1,862.09 |
7 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 $363.08 Median $724.44 Typical High $933.25 | Professional | 52 · Reduced service | $363.08 | $724.44 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $288.40 Typical High $371.54 | Professional | 53 · Discontinued | $144.54 | $288.40 | $371.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $1,071.52 Typical High $1,412.54 | Professional | 54 · Surgery only | $537.03 | $1,071.52 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $213.80 Typical High $281.84 | Professional | 55 · Aftercare only | $107.15 | $213.80 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $144.54 Typical High $186.21 | Professional | 56 · Pre-op care only | $72.44 | $144.54 | $186.21 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $1,000.00 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $501.19 | $1,000.00 | $1,318.26 |
Ambetter Setting Professional Modifier 58 · Staged procedure Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | 58 · Staged procedure | $758.58 | $758.58 | $758.58 |
Where Mississippi sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 25th of 51
$1,096
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.