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 $630.96 Median $891.25 Typical High $1,995.26 | Facility | None | $630.96 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $1,122.02 Typical High $1,258.93 | Professional | None | $524.81 | $1,122.02 | $1,258.93 |
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $4,365.16 Typical High $7,413.10 | Facility | None | $660.69 | $4,365.16 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $870.96 Typical High $1,000.00 | Professional | None | $446.68 | $870.96 | $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 $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 $512.86 Median $575.44 Typical High $1,318.26 | Professional | None | $512.86 | $575.44 | $1,318.26 |
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 $263.03 Median $562.34 Typical High $630.96 | Professional | 52 · Reduced service | $263.03 | $562.34 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $223.87 Typical High $251.19 | Professional | 53 · Discontinued | $104.71 | $223.87 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $831.76 Typical High $954.99 | Professional | 54 · Surgery only | $389.05 | $831.76 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $165.96 Typical High $190.55 | Professional | 55 · Aftercare only | $77.62 | $165.96 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $112.20 Typical High $125.89 | Professional | 56 · Pre-op care only | $52.48 | $112.20 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $776.25 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $363.08 | $776.25 | $891.25 |
Where Mississippi sits
The same service costs 7.8 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
$1,047
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.