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 $1,318.26 Typical High $2,818.38 | Facility | None | $758.58 | $1,318.26 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $3,090.30 Typical High $3,548.13 | Professional | None | $1,445.44 | $3,090.30 | $3,548.13 |
BCBS Mississippi Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | None | $3,311.31 | $3,311.31 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $8,709.64 Typical High $13,803.84 | Facility | None | $660.69 | $8,709.64 | $13,803.84 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $2,691.53 Typical High $3,388.44 | Professional | None | $1,348.96 | $2,691.53 | $3,388.44 |
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 $1,584.89 Median $6,456.54 Typical High $21,877.62 | Facility | None | $1,584.89 | $6,456.54 | $21,877.62 |
United Setting Professional Modifier None Typical Low $1,479.11 Median $1,659.59 Typical High $3,801.89 | Professional | None | $1,479.11 | $1,659.59 | $3,801.89 |
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 $724.44 Median $1,548.82 Typical High $1,778.28 | Professional | 52 · Reduced service | $724.44 | $1,548.82 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $630.96 Typical High $707.95 | Professional | 53 · Discontinued | $295.12 | $630.96 | $707.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $2,344.23 Typical High $2,630.27 | Professional | 54 · Surgery only | $1,096.48 | $2,344.23 | $2,630.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $467.74 Typical High $524.81 | Professional | 55 · Aftercare only | $218.78 | $467.74 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $309.03 Typical High $354.81 | Professional | 56 · Pre-op care only | $144.54 | $309.03 | $354.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $2,187.76 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $1,023.29 | $2,187.76 | $2,454.71 |
Where Mississippi sits
The same service costs 20.4 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· 12th of 51
$2,692
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.