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 $794.33 Median $1,348.96 Typical High $1,778.28 | Professional | None | $794.33 | $1,348.96 | $1,778.28 |
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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
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 $616.60 Median $1,148.15 Typical High $1,380.38 | Professional | None | $616.60 | $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 $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 $776.25 Median $933.25 Typical High $1,778.28 | Professional | None | $776.25 | $933.25 | $1,778.28 |
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 $398.11 Median $676.08 Typical High $891.25 | Professional | 52 · Reduced service | $398.11 | $676.08 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $269.15 Typical High $354.81 | Professional | 53 · Discontinued | $158.49 | $269.15 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $1,023.29 Typical High $1,318.26 | Professional | 54 · Surgery only | $588.84 | $1,023.29 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $204.17 Typical High $263.03 | Professional | 55 · Aftercare only | $120.23 | $204.17 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $134.90 Typical High $177.83 | Professional | 56 · Pre-op care only | $79.43 | $134.90 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $954.99 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $549.54 | $954.99 | $1,230.27 |
Where Mississippi sits
The same service costs 7.1 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· 19th of 51
$1,259
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.