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 $891.25 Typical High $1,819.70 | Facility | None | $549.54 | $891.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $1,096.48 Typical High $1,230.27 | Professional | None | $512.86 | $1,096.48 | $1,230.27 |
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 $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $2,187.76 Typical High $4,466.84 | Facility | None | $630.96 | $2,187.76 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $912.01 Typical High $1,000.00 | Professional | None | $446.68 | $912.01 | $1,000.00 |
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 $501.19 Median $562.34 Typical High $1,288.25 | Professional | None | $501.19 | $562.34 | $1,288.25 |
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 $549.54 Typical High $616.60 | Professional | 52 · Reduced service | $257.04 | $549.54 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $218.78 Typical High $245.47 | Professional | 53 · Discontinued | $102.33 | $218.78 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $812.83 Typical High $933.25 | Professional | 54 · Surgery only | $380.19 | $812.83 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $162.18 Typical High $186.21 | Professional | 55 · Aftercare only | $75.86 | $162.18 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $109.65 Typical High $123.03 | Professional | 56 · Pre-op care only | $51.29 | $109.65 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $758.58 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $354.81 | $758.58 | $870.96 |
Where Mississippi sits
The same service costs 7.9 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· 12th of 51
$977
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.