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 $616.60 Median $891.25 Typical High $1,819.70 | Facility | None | $616.60 | $891.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $1,548.82 Typical High $1,737.80 | Professional | None | $724.44 | $1,548.82 | $1,737.80 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,548.82 Typical High $2,454.71 | Facility | None | $630.96 | $1,548.82 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $1,202.26 Typical High $1,348.96 | Professional | None | $602.56 | $1,202.26 | $1,348.96 |
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 $5,370.32 | Facility | None | $467.74 | $758.58 | $5,370.32 |
United Setting Professional Modifier None Typical Low $691.83 Median $758.58 Typical High $1,737.80 | Professional | None | $691.83 | $758.58 | $1,737.80 |
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 $363.08 Median $776.25 Typical High $870.96 | Professional | 52 · Reduced service | $363.08 | $776.25 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $309.03 Typical High $346.74 | Professional | 53 · Discontinued | $144.54 | $309.03 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $1,174.90 Typical High $1,318.26 | Professional | 54 · Surgery only | $549.54 | $1,174.90 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $234.42 Typical High $263.03 | Professional | 55 · Aftercare only | $109.65 | $234.42 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $154.88 Typical High $173.78 | Professional | 56 · Pre-op care only | $72.44 | $154.88 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $1,096.48 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $512.86 | $1,096.48 | $1,230.27 |
Where Mississippi sits
The same service costs 8.3 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
$1,230
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.