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 $446.68 Median $954.99 Typical High $1,096.48 | Professional | None | $446.68 | $954.99 | $1,096.48 |
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 $954.99 Median $954.99 Typical High $954.99 | Professional | None | $954.99 | $954.99 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,884.03 Typical High $5,888.44 | Facility | None | $891.25 | $2,884.03 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $812.83 Typical High $977.24 | Professional | None | $407.38 | $812.83 | $977.24 |
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 $478.63 Median $549.54 Typical High $1,258.93 | Professional | None | $478.63 | $549.54 | $1,258.93 |
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 $223.87 Median $478.63 Typical High $537.03 | Professional | 52 · Reduced service | $223.87 | $478.63 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $190.55 Typical High $218.78 | Professional | 53 · Discontinued | $89.13 | $190.55 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $724.44 Typical High $812.83 | Professional | 54 · Surgery only | $338.84 | $724.44 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $144.54 Typical High $162.18 | Professional | 55 · Aftercare only | $67.61 | $144.54 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $95.50 Typical High $109.65 | Professional | 56 · Pre-op care only | $44.67 | $95.50 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $676.08 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $316.23 | $676.08 | $758.58 |
Where Mississippi sits
The same service costs 18.2 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· 13th of 51
$955
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.