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 $660.69 Median $1,000.00 Typical High $1,995.26 | Facility | None | $660.69 | $1,000.00 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $1,318.26 Typical High $1,621.81 | Professional | None | $549.54 | $1,318.26 | $1,621.81 |
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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
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 $575.44 Median $1,023.29 Typical High $1,288.25 | Professional | None | $575.44 | $1,023.29 | $1,288.25 |
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 $707.95 Typical High $1,584.89 | Professional | None | $575.44 | $707.95 | $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 $275.42 Median $660.69 Typical High $812.83 | Professional | 52 · Reduced service | $275.42 | $660.69 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $263.03 Typical High $323.59 | Professional | 53 · Discontinued | $109.65 | $263.03 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $1,000.00 Typical High $1,202.26 | Professional | 54 · Surgery only | $407.38 | $1,000.00 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $199.53 Typical High $239.88 | Professional | 55 · Aftercare only | $81.28 | $199.53 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $131.83 Typical High $162.18 | Professional | 56 · Pre-op care only | $54.95 | $131.83 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $933.25 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $380.19 | $933.25 | $1,122.02 |
Where Mississippi sits
The same service costs 6.6 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· 17th of 51
$1,023
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.