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 $691.83 Median $891.25 Typical High $1,995.26 | Facility | None | $691.83 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $1,479.11 Typical High $1,698.24 | Professional | None | $691.83 | $1,479.11 | $1,698.24 |
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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $3,467.37 Typical High $5,495.41 | Facility | None | $660.69 | $3,467.37 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $1,258.93 Typical High $1,513.56 | Professional | None | $562.34 | $1,258.93 | $1,513.56 |
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 $9,549.93 | Facility | None | $977.24 | $1,737.80 | $9,549.93 |
United Setting Professional Modifier None Typical Low $691.83 Median $812.83 Typical High $1,995.26 | Professional | None | $691.83 | $812.83 | $1,995.26 |
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 $346.74 Median $741.31 Typical High $831.76 | Professional | 52 · Reduced service | $346.74 | $741.31 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $295.12 Typical High $338.84 | Professional | 53 · Discontinued | $138.04 | $295.12 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $1,122.02 Typical High $1,258.93 | Professional | 54 · Surgery only | $524.81 | $1,122.02 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $223.87 Typical High $251.19 | Professional | 55 · Aftercare only | $104.71 | $223.87 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $147.91 Typical High $169.82 | Professional | 56 · Pre-op care only | $69.18 | $147.91 | $169.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $1,047.13 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $489.78 | $1,047.13 | $1,174.90 |
Where Mississippi sits
The same service costs 7.6 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· 19th of 51
$1,259
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.