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 $645.65 Median $1,380.38 Typical High $1,548.82 | Professional | None | $645.65 | $1,380.38 | $1,548.82 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,584.89 Typical High $3,162.28 | Facility | None | $891.25 | $1,584.89 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $1,122.02 Typical High $1,202.26 | Professional | None | $524.81 | $1,122.02 | $1,202.26 |
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 $977.24 Median $1,737.80 Typical High $6,606.93 | Facility | None | $977.24 | $1,737.80 | $6,606.93 |
United Setting Professional Modifier None Typical Low $645.65 Median $724.44 Typical High $1,659.59 | Professional | None | $645.65 | $724.44 | $1,659.59 |
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 $323.59 Median $691.83 Typical High $776.25 | Professional | 52 · Reduced service | $323.59 | $691.83 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $275.42 Typical High $309.03 | Professional | 53 · Discontinued | $128.82 | $275.42 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $1,023.29 Typical High $1,174.90 | Professional | 54 · Surgery only | $478.63 | $1,023.29 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $204.17 Typical High $234.42 | Professional | 55 · Aftercare only | $95.50 | $204.17 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $138.04 Typical High $154.88 | Professional | 56 · Pre-op care only | $64.57 | $138.04 | $154.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $954.99 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $446.68 | $954.99 | $1,096.48 |
Where Mississippi sits
The same service costs 8.7 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· 15th of 51
$1,175
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.