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 $549.54 Median $776.25 Typical High $1,819.70 | Facility | None | $549.54 | $776.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $933.25 Typical High $1,445.44 | Professional | None | $380.19 | $933.25 | $1,445.44 |
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 $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $2,818.38 Typical High $4,570.88 | Facility | None | $630.96 | $2,818.38 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $660.69 Typical High $1,096.48 | Professional | None | $363.08 | $660.69 | $1,096.48 |
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 $467.74 Median $758.58 Typical High $7,413.10 | Facility | None | $467.74 | $758.58 | $7,413.10 |
United Setting Professional Modifier None Typical Low $338.84 Median $562.34 Typical High $1,202.26 | Professional | None | $338.84 | $562.34 | $1,202.26 |
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 $190.55 Median $467.74 Typical High $724.44 | Professional | 52 · Reduced service | $190.55 | $467.74 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $186.21 Typical High $288.40 | Professional | 53 · Discontinued | $77.62 | $186.21 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $691.83 Typical High $1,096.48 | Professional | 54 · Surgery only | $288.40 | $691.83 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $138.04 Typical High $218.78 | Professional | 55 · Aftercare only | $57.54 | $138.04 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $93.33 Typical High $144.54 | Professional | 56 · Pre-op care only | $38.02 | $93.33 | $144.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $645.65 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $269.15 | $645.65 | $1,023.29 |
Where Mississippi sits
The same service costs 5.9 times more in Alaska than in Kentucky. 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· 24th of 51
$724
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.