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 $776.25 Median $1,318.26 Typical High $2,290.87 | Facility | None | $776.25 | $1,318.26 | $2,290.87 |
Aetna Setting Professional Modifier None Typical Low $2,290.87 Median $3,890.45 Typical High $5,128.61 | Professional | None | $2,290.87 | $3,890.45 | $5,128.61 |
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 $4,570.88 Median $4,570.88 Typical High $4,570.88 | Professional | None | $4,570.88 | $4,570.88 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,148.15 Typical High $2,187.76 | Facility | None | $794.33 | $1,148.15 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $3,630.78 Typical High $4,073.80 | Professional | None | $1,778.28 | $3,630.78 | $4,073.80 |
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 $2,454.71 Median $2,754.23 Typical High $5,128.61 | Professional | None | $2,454.71 | $2,754.23 | $5,128.61 |
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 $1,148.15 Median $1,949.84 Typical High $2,570.40 | Professional | 52 · Reduced service | $1,148.15 | $1,949.84 | $2,570.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $776.25 Typical High $1,023.29 | Professional | 53 · Discontinued | $457.09 | $776.25 | $1,023.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,737.80 Median $2,951.21 Typical High $3,801.89 | Professional | 54 · Surgery only | $1,737.80 | $2,951.21 | $3,801.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $588.84 Typical High $758.58 | Professional | 55 · Aftercare only | $346.74 | $588.84 | $758.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $229.09 Median $389.05 Typical High $512.86 | Professional | 56 · Pre-op care only | $229.09 | $389.05 | $512.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $2,754.23 Typical High $3,548.13 | Professional | 78 · Unplanned return to OR | $1,621.81 | $2,754.23 | $3,548.13 |
Where Mississippi sits
The same service costs 15.8 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· 37th of 51
$2,570
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.