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 $758.58 Median $1,096.48 Typical High $2,818.38 | Facility | None | $758.58 | $1,096.48 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $1,380.38 Typical High $1,584.89 | Professional | None | $645.65 | $1,380.38 | $1,584.89 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,949.84 Typical High $3,090.30 | Facility | None | $660.69 | $1,949.84 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $977.24 Typical High $1,258.93 | Professional | None | $537.03 | $977.24 | $1,258.93 |
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 $9,332.54 | Facility | None | $1,380.38 | $3,311.31 | $9,332.54 |
United Setting Professional Modifier None Typical Low $562.34 Median $691.83 Typical High $1,584.89 | Professional | None | $562.34 | $691.83 | $1,584.89 |
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 $323.59 Median $691.83 Typical High $794.33 | Professional | 52 · Reduced service | $323.59 | $691.83 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $275.42 Typical High $316.23 | Professional | 53 · Discontinued | $128.82 | $275.42 | $316.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $1,047.13 Typical High $1,174.90 | Professional | 54 · Surgery only | $489.78 | $1,047.13 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $208.93 Typical High $234.42 | Professional | 55 · Aftercare only | $97.72 | $208.93 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $138.04 Typical High $158.49 | Professional | 56 · Pre-op care only | $64.57 | $138.04 | $158.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $977.24 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $457.09 | $977.24 | $1,096.48 |
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· 20th of 51
$1,072
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.