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 $602.56 Median $758.58 Typical High $1,819.70 | Facility | None | $602.56 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $1,445.44 Typical High $1,737.80 | Professional | None | $602.56 | $1,445.44 | $1,737.80 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $2,818.38 Typical High $5,888.44 | Facility | None | $630.96 | $2,818.38 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $1,230.27 Typical High $1,479.11 | Professional | None | $676.08 | $1,230.27 | $1,479.11 |
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 $1,122.02 Median $2,511.89 Typical High $10,232.93 | Facility | None | $1,122.02 | $2,511.89 | $10,232.93 |
United Setting Professional Modifier None Typical Low $660.69 Median $831.76 Typical High $1,949.84 | Professional | None | $660.69 | $831.76 | $1,949.84 |
7 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 $724.44 Typical High $870.96 | Professional | 52 · Reduced service | $302.00 | $724.44 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $295.12 Typical High $346.74 | Professional | 53 · Discontinued | $120.23 | $295.12 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $1,096.48 Typical High $1,288.25 | Professional | 54 · Surgery only | $457.09 | $1,096.48 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $218.78 Typical High $257.04 | Professional | 55 · Aftercare only | $91.20 | $218.78 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $144.54 Typical High $173.78 | Professional | 56 · Pre-op care only | $60.26 | $144.54 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $1,023.29 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $426.58 | $1,023.29 | $1,202.26 |
Ambetter Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,412.54 | $1,412.54 |
Where Mississippi sits
The same service costs 5.8 times more in Alaska than in Utah. 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· 15th of 51
$1,175
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.