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 $776.25 Typical High $1,819.70 | Facility | None | $616.60 | $776.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $1,230.27 Typical High $1,621.81 | Professional | None | $616.60 | $1,230.27 | $1,621.81 |
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 $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
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 $575.44 Median $870.96 Typical High $1,174.90 | Professional | None | $575.44 | $870.96 | $1,174.90 |
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 $4,897.79 | Facility | None | $467.74 | $758.58 | $4,897.79 |
United Setting Professional Modifier None Typical Low $616.60 Median $794.33 Typical High $1,479.11 | Professional | None | $616.60 | $794.33 | $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 $302.00 Median $616.60 Typical High $812.83 | Professional | 52 · Reduced service | $302.00 | $616.60 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $245.47 Typical High $323.59 | Professional | 53 · Discontinued | $123.03 | $245.47 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $933.25 Typical High $1,202.26 | Professional | 54 · Surgery only | $457.09 | $933.25 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $186.21 Typical High $239.88 | Professional | 55 · Aftercare only | $91.20 | $186.21 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $123.03 Typical High $162.18 | Professional | 56 · Pre-op care only | $61.66 | $123.03 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $870.96 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $426.58 | $870.96 | $1,122.02 |
Where Mississippi sits
The same service costs 4.9 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· 27th of 51
$933
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.