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 $446.68 Median $891.25 Typical High $1,819.70 | Facility | None | $446.68 | $891.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $954.99 Typical High $1,071.52 | Professional | None | $446.68 | $954.99 | $1,071.52 |
BCBS Mississippi Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
BCBS Mississippi Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $831.76 Typical High $1,698.24 | Facility | None | $436.52 | $831.76 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $741.31 Typical High $831.76 | Professional | None | $371.54 | $741.31 | $831.76 |
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 $467.74 Median $812.83 Typical High $3,090.30 | Facility | None | $467.74 | $812.83 | $3,090.30 |
United Setting Professional Modifier None Typical Low $426.58 Median $489.78 Typical High $1,096.48 | Professional | None | $426.58 | $489.78 | $1,096.48 |
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 $223.87 Median $478.63 Typical High $537.03 | Professional | 52 · Reduced service | $223.87 | $478.63 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $190.55 Typical High $218.78 | Professional | 53 · Discontinued | $89.13 | $190.55 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $724.44 Typical High $812.83 | Professional | 54 · Surgery only | $338.84 | $724.44 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $144.54 Typical High $162.18 | Professional | 55 · Aftercare only | $67.61 | $144.54 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $95.50 Typical High $107.15 | Professional | 56 · Pre-op care only | $44.67 | $95.50 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $676.08 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $316.23 | $676.08 | $758.58 |
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
$776
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.