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 $707.95 Median $1,148.15 Typical High $2,570.40 | Facility | None | $707.95 | $1,148.15 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $3,162.28 Typical High $3,548.13 | Professional | None | $1,445.44 | $3,162.28 | $3,548.13 |
BCBS Mississippi Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
BCBS Mississippi Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | None | $3,388.44 | $3,388.44 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $3,467.37 Typical High $7,079.46 | Facility | None | $660.69 | $3,467.37 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $2,691.53 Typical High $2,884.03 | Professional | None | $1,202.26 | $2,691.53 | $2,884.03 |
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 $12,589.25 | Facility | None | $1,380.38 | $3,311.31 | $12,589.25 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $1,659.59 Typical High $3,890.45 | Professional | None | $1,513.56 | $1,659.59 | $3,890.45 |
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 $741.31 Median $1,584.89 Typical High $1,778.28 | Professional | 52 · Reduced service | $741.31 | $1,584.89 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $630.96 Typical High $724.44 | Professional | 53 · Discontinued | $295.12 | $630.96 | $724.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $2,398.83 Typical High $2,691.53 | Professional | 54 · Surgery only | $1,122.02 | $2,398.83 | $2,691.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $478.63 Typical High $537.03 | Professional | 55 · Aftercare only | $223.87 | $478.63 | $537.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $316.23 Typical High $354.81 | Professional | 56 · Pre-op care only | $147.91 | $316.23 | $354.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $2,238.72 Typical High $2,511.89 | Professional | 78 · Unplanned return to OR | $1,047.13 | $2,238.72 | $2,511.89 |
Where Mississippi sits
The same service costs 7.8 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.