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 $1,047.13 Typical High $1,995.26 | Facility | None | $758.58 | $1,047.13 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $1,258.93 Typical High $1,412.54 | Professional | None | $588.84 | $1,258.93 | $1,412.54 |
BCBS Mississippi Setting Facility Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $4,570.88 | Facility | None | $4,570.88 | $4,570.88 | $4,570.88 |
BCBS Mississippi Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $2,884.03 Typical High $5,888.44 | Facility | None | $794.33 | $2,884.03 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $1,071.52 Typical High $1,174.90 | Professional | None | $489.78 | $1,071.52 | $1,174.90 |
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 $758.58 Median $1,412.54 Typical High $7,585.78 | Facility | None | $758.58 | $1,412.54 | $7,585.78 |
United Setting Professional Modifier None Typical Low $602.56 Median $758.58 Typical High $1,698.24 | Professional | None | $602.56 | $758.58 | $1,698.24 |
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 $295.12 Median $630.96 Typical High $707.95 | Professional | 52 · Reduced service | $295.12 | $630.96 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $251.19 Typical High $288.40 | Professional | 53 · Discontinued | $117.49 | $251.19 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $954.99 Typical High $1,071.52 | Professional | 54 · Surgery only | $446.68 | $954.99 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $190.55 Typical High $213.80 | Professional | 55 · Aftercare only | $89.13 | $190.55 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $125.89 Typical High $141.25 | Professional | 56 · Pre-op care only | $58.88 | $125.89 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $891.25 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $416.87 | $891.25 | $1,000.00 |
Where Mississippi sits
The same service costs 8.1 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· 27th of 51
$891
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.