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 $851.14 Typical High $1,995.26 | Facility | None | $630.96 | $851.14 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $933.25 Typical High $1,479.11 | Professional | None | $549.54 | $933.25 | $1,479.11 |
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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,148.15 Typical High $2,187.76 | Facility | None | $660.69 | $1,148.15 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $912.01 Typical High $1,096.48 | Professional | None | $512.86 | $912.01 | $1,096.48 |
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 $616.60 Median $741.31 Typical High $1,479.11 | Professional | None | $616.60 | $741.31 | $1,479.11 |
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 $275.42 Median $562.34 Typical High $724.44 | Professional | 52 · Reduced service | $275.42 | $562.34 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $223.87 Typical High $295.12 | Professional | 53 · Discontinued | $109.65 | $223.87 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $851.14 Typical High $1,096.48 | Professional | 54 · Surgery only | $416.87 | $851.14 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $169.82 Typical High $218.78 | Professional | 55 · Aftercare only | $83.18 | $169.82 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $112.20 Typical High $147.91 | Professional | 56 · Pre-op care only | $54.95 | $112.20 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $794.33 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $389.05 | $794.33 | $1,023.29 |
Where Mississippi sits
The same service costs 4.5 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
$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.