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 $707.95 Median $891.25 Typical High $1,995.26 | Facility | None | $707.95 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $1,778.28 Typical High $1,995.26 | Professional | None | $831.76 | $1,778.28 | $1,995.26 |
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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $3,467.37 Typical High $7,079.46 | Facility | None | $660.69 | $3,467.37 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $1,445.44 Typical High $1,698.24 | Professional | None | $676.08 | $1,445.44 | $1,698.24 |
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 $831.76 Median $954.99 Typical High $2,344.23 | Professional | None | $831.76 | $954.99 | $2,344.23 |
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 $416.87 Median $891.25 Typical High $1,000.00 | Professional | 52 · Reduced service | $416.87 | $891.25 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $354.81 Typical High $398.11 | Professional | 53 · Discontinued | $165.96 | $354.81 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $1,318.26 Typical High $1,513.56 | Professional | 54 · Surgery only | $616.60 | $1,318.26 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $263.03 Typical High $302.00 | Professional | 55 · Aftercare only | $123.03 | $263.03 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $177.83 Typical High $199.53 | Professional | 56 · Pre-op care only | $83.18 | $177.83 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $1,230.27 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $575.44 | $1,230.27 | $1,412.54 |
Where Mississippi sits
The same service costs 14.5 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· 17th of 51
$1,514
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.