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 $758.58 Median $1,122.02 Typical High $2,691.53 | Facility | None | $758.58 | $1,122.02 | $2,691.53 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $2,398.83 Typical High $2,691.53 | Professional | None | $1,122.02 | $2,398.83 | $2,691.53 |
BCBS Mississippi Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Facility | None | $3,090.30 | $3,090.30 | $3,090.30 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,344.23 | $2,344.23 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $3,630.78 Typical High $6,456.54 | Facility | None | $660.69 | $3,630.78 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,905.46 Typical High $2,137.96 | Professional | None | $912.01 | $1,905.46 | $2,137.96 |
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 $1,148.15 Median $2,511.89 Typical High $10,715.19 | Facility | None | $1,148.15 | $2,511.89 | $10,715.19 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,258.93 Typical High $2,884.03 | Professional | None | $1,096.48 | $1,258.93 | $2,884.03 |
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 $549.54 Median $1,202.26 Typical High $1,348.96 | Professional | 52 · Reduced service | $549.54 | $1,202.26 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $478.63 Typical High $537.03 | Professional | 53 · Discontinued | $223.87 | $478.63 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $1,778.28 Typical High $1,995.26 | Professional | 54 · Surgery only | $831.76 | $1,778.28 | $1,995.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $354.81 Typical High $407.38 | Professional | 55 · Aftercare only | $165.96 | $354.81 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $239.88 Typical High $269.15 | Professional | 56 · Pre-op care only | $112.20 | $239.88 | $269.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $1,659.59 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $776.25 | $1,659.59 | $1,862.09 |
Where Mississippi sits
The same service costs 16.2 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
$2,042
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.