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 $691.83 Median $1,096.48 Typical High $2,818.38 | Facility | None | $691.83 | $1,096.48 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $1,288.25 Typical High $1,659.59 | Professional | None | $537.03 | $1,288.25 | $1,659.59 |
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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,884.03 Typical High $5,888.44 | Facility | None | $891.25 | $2,884.03 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $1,047.13 Typical High $1,348.96 | Professional | None | $616.60 | $1,047.13 | $1,348.96 |
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 $575.44 Median $758.58 Typical High $1,584.89 | Professional | None | $575.44 | $758.58 | $1,584.89 |
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 $269.15 Median $645.65 Typical High $831.76 | Professional | 52 · Reduced service | $269.15 | $645.65 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $263.03 Typical High $331.13 | Professional | 53 · Discontinued | $107.15 | $263.03 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $977.24 Typical High $1,258.93 | Professional | 54 · Surgery only | $407.38 | $977.24 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $194.98 Typical High $251.19 | Professional | 55 · Aftercare only | $81.28 | $194.98 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $128.82 Typical High $165.96 | Professional | 56 · Pre-op care only | $53.70 | $128.82 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $912.01 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $380.19 | $912.01 | $1,174.90 |
Where Mississippi sits
The same service costs 6.2 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· 11th of 51
$1,122
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.