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 $575.44 Median $891.25 Typical High $1,819.70 | Facility | None | $575.44 | $891.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $1,230.27 Typical High $1,380.38 | Professional | None | $575.44 | $1,230.27 | $1,380.38 |
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 $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $891.25 Typical High $1,698.24 | Facility | None | $630.96 | $891.25 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $954.99 Typical High $1,096.48 | Professional | None | $467.74 | $954.99 | $1,096.48 |
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 $758.58 Typical High $3,090.30 | Facility | None | $467.74 | $758.58 | $3,090.30 |
United Setting Professional Modifier None Typical Low $436.52 Median $616.60 Typical High $1,412.54 | Professional | None | $436.52 | $616.60 | $1,412.54 |
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 $288.40 Median $616.60 Typical High $691.83 | Professional | 52 · Reduced service | $288.40 | $616.60 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $245.47 Typical High $275.42 | Professional | 53 · Discontinued | $114.82 | $245.47 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $912.01 Typical High $1,047.13 | Professional | 54 · Surgery only | $426.58 | $912.01 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $181.97 Typical High $208.93 | Professional | 55 · Aftercare only | $85.11 | $181.97 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $123.03 Typical High $138.04 | Professional | 56 · Pre-op care only | $57.54 | $123.03 | $138.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $851.14 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $398.11 | $851.14 | $977.24 |
Where Mississippi sits
The same service costs 7.4 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
$891
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.