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 $776.25 Median $1,096.48 Typical High $2,818.38 | Facility | None | $776.25 | $1,096.48 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $1,819.70 Typical High $2,041.74 | Professional | None | $851.14 | $1,819.70 | $2,041.74 |
BCBS Mississippi Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $4,365.16 Typical High $9,120.11 | Facility | None | $891.25 | $4,365.16 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $1,513.56 Typical High $1,659.59 | Professional | None | $691.83 | $1,513.56 | $1,659.59 |
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 $1,380.38 Median $3,311.31 Typical High $12,589.25 | Facility | None | $1,380.38 | $3,311.31 | $12,589.25 |
United Setting Professional Modifier None Typical Low $851.14 Median $954.99 Typical High $2,238.72 | Professional | None | $851.14 | $954.99 | $2,238.72 |
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 $426.58 Median $912.01 Typical High $1,023.29 | Professional | 52 · Reduced service | $426.58 | $912.01 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $363.08 Typical High $416.87 | Professional | 53 · Discontinued | $169.82 | $363.08 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $1,380.38 Typical High $1,548.82 | Professional | 54 · Surgery only | $645.65 | $1,380.38 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $275.42 Typical High $309.03 | Professional | 55 · Aftercare only | $128.82 | $275.42 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $181.97 Typical High $204.17 | Professional | 56 · Pre-op care only | $85.11 | $181.97 | $204.17 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $1,288.25 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $602.56 | $1,288.25 | $1,445.44 |
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· 13th of 51
$1,549
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.