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 $707.95 Median $891.25 Typical High $1,995.26 | Facility | None | $707.95 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $1,288.25 Typical High $1,698.24 | Professional | None | $758.58 | $1,288.25 | $1,698.24 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,202.26 Typical High $2,398.83 | Facility | None | $660.69 | $1,202.26 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $1,071.52 Typical High $1,318.26 | Professional | None | $588.84 | $1,071.52 | $1,318.26 |
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 $758.58 Median $1,412.54 Typical High $5,370.32 | Facility | None | $758.58 | $1,412.54 | $5,370.32 |
United Setting Professional Modifier None Typical Low $741.31 Median $933.25 Typical High $1,698.24 | Professional | None | $741.31 | $933.25 | $1,698.24 |
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 $380.19 Median $645.65 Typical High $851.14 | Professional | 52 · Reduced service | $380.19 | $645.65 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $257.04 Typical High $338.84 | Professional | 53 · Discontinued | $151.36 | $257.04 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $977.24 Typical High $1,258.93 | Professional | 54 · Surgery only | $575.44 | $977.24 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $194.98 Typical High $251.19 | Professional | 55 · Aftercare only | $114.82 | $194.98 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $128.82 Typical High $169.82 | Professional | 56 · Pre-op care only | $75.86 | $128.82 | $169.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $912.01 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $537.03 | $912.01 | $1,174.90 |
Where Mississippi sits
The same service costs 7.6 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· 20th of 51
$1,202
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.