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 $1,096.48 Typical High $2,818.38 | Facility | None | $758.58 | $1,096.48 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $1,445.44 Typical High $1,659.59 | Professional | None | $676.08 | $1,445.44 | $1,659.59 |
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 $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $2,818.38 Typical High $5,888.44 | Facility | None | $660.69 | $2,818.38 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $1,202.26 Typical High $1,348.96 | Professional | None | $575.44 | $1,202.26 | $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 $691.83 Median $776.25 Typical High $1,737.80 | Professional | None | $691.83 | $776.25 | $1,737.80 |
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 $338.84 Median $724.44 Typical High $831.76 | Professional | 52 · Reduced service | $338.84 | $724.44 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $295.12 Typical High $331.13 | Professional | 53 · Discontinued | $138.04 | $295.12 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $1,096.48 Typical High $1,230.27 | Professional | 54 · Surgery only | $512.86 | $1,096.48 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $218.78 Typical High $245.47 | Professional | 55 · Aftercare only | $102.33 | $218.78 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $144.54 Typical High $165.96 | Professional | 56 · Pre-op care only | $67.61 | $144.54 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $1,023.29 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $478.63 | $1,023.29 | $1,148.15 |
Where Mississippi sits
The same service costs 16.6 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· 12th of 51
$1,259
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.