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 $1,318.26 Typical High $2,818.38 | Facility | None | $758.58 | $1,318.26 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $4,265.80 Typical High $4,786.30 | Professional | None | $1,995.26 | $4,265.80 | $4,786.30 |
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 $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $2,818.38 Typical High $4,570.88 | Facility | None | $660.69 | $2,818.38 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $1,621.81 Median $3,162.28 Typical High $3,890.45 | Professional | None | $1,621.81 | $3,162.28 | $3,890.45 |
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 $1,819.70 Median $2,137.96 Typical High $4,466.84 | Professional | None | $1,819.70 | $2,137.96 | $4,466.84 |
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 $1,000.00 Median $2,137.96 Typical High $2,398.83 | Professional | 52 · Reduced service | $1,000.00 | $2,137.96 | $2,398.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $851.14 Typical High $954.99 | Professional | 53 · Discontinued | $398.11 | $851.14 | $954.99 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $3,235.94 Typical High $3,630.78 | Professional | 54 · Surgery only | $1,513.56 | $3,235.94 | $3,630.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $645.65 Typical High $724.44 | Professional | 55 · Aftercare only | $302.00 | $645.65 | $724.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $426.58 Typical High $478.63 | Professional | 56 · Pre-op care only | $199.53 | $426.58 | $478.63 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $3,019.95 Typical High $3,388.44 | Professional | 78 · Unplanned return to OR | $1,412.54 | $3,019.95 | $3,388.44 |
Where Mississippi sits
The same service costs 21.4 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· 19th of 51
$3,020
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.