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 $776.25 Median $1,174.90 Typical High $2,884.03 | Facility | None | $776.25 | $1,174.90 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $1,548.82 Median $3,311.31 Typical High $3,715.35 | Professional | None | $1,548.82 | $3,311.31 | $3,715.35 |
BCBS Mississippi Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | None | $3,090.30 | $3,090.30 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $4,365.16 Typical High $7,079.46 | Facility | None | $660.69 | $4,365.16 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $2,691.53 Typical High $2,951.21 | Professional | None | $1,230.27 | $2,691.53 | $2,951.21 |
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 $13,182.57 | Facility | None | $1,380.38 | $3,311.31 | $13,182.57 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $1,737.80 Typical High $4,073.80 | Professional | None | $1,548.82 | $1,737.80 | $4,073.80 |
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 $758.58 Median $1,621.81 Typical High $1,862.09 | Professional | 52 · Reduced service | $758.58 | $1,621.81 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $660.69 Typical High $741.31 | Professional | 53 · Discontinued | $309.03 | $660.69 | $741.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $2,454.71 Typical High $2,754.23 | Professional | 54 · Surgery only | $1,148.15 | $2,454.71 | $2,754.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $229.09 Median $489.78 Typical High $562.34 | Professional | 55 · Aftercare only | $229.09 | $489.78 | $562.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $331.13 Typical High $371.54 | Professional | 56 · Pre-op care only | $154.88 | $331.13 | $371.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $2,290.87 Typical High $2,570.40 | Professional | 78 · Unplanned return to OR | $1,071.52 | $2,290.87 | $2,570.40 |
Where Mississippi sits
The same service costs 9.3 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· 11th of 51
$2,818
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.