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 $512.86 Median $1,230.27 Typical High $1,479.11 | Professional | None | $512.86 | $1,230.27 | $1,479.11 |
BCBS Mississippi Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
BCBS Mississippi Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $676.08 Typical High $1,258.93 | Facility | None | $562.34 | $676.08 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $977.24 Typical High $1,174.90 | Professional | None | $512.86 | $977.24 | $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 $467.74 Median $758.58 Typical High $2,951.21 | Facility | None | $467.74 | $758.58 | $2,951.21 |
United Setting Professional Modifier None Typical Low $501.19 Median $676.08 Typical High $1,412.54 | Professional | None | $501.19 | $676.08 | $1,412.54 |
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 $257.04 Median $616.60 Typical High $741.31 | Professional | 52 · Reduced service | $257.04 | $616.60 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $245.47 Typical High $295.12 | Professional | 53 · Discontinued | $102.33 | $245.47 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $933.25 Typical High $1,096.48 | Professional | 54 · Surgery only | $380.19 | $933.25 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $186.21 Typical High $218.78 | Professional | 55 · Aftercare only | $75.86 | $186.21 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $123.03 Typical High $147.91 | Professional | 56 · Pre-op care only | $51.29 | $123.03 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $870.96 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $354.81 | $870.96 | $1,023.29 |
Where Mississippi sits
The same service costs 5.6 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· 32nd 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.