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 $1,047.13 Typical High $1,995.26 | Facility | None | $758.58 | $1,047.13 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $1,288.25 Typical High $1,445.44 | Professional | None | $602.56 | $1,288.25 | $1,445.44 |
BCBS Mississippi Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $3,467.37 Typical High $5,495.41 | Facility | None | $660.69 | $3,467.37 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $1,023.29 Typical High $1,148.15 | Professional | None | $489.78 | $1,023.29 | $1,148.15 |
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 $977.24 Median $1,737.80 Typical High $9,549.93 | Facility | None | $977.24 | $1,737.80 | $9,549.93 |
United Setting Professional Modifier None Typical Low $602.56 Median $676.08 Typical High $1,548.82 | Professional | None | $602.56 | $676.08 | $1,548.82 |
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 $302.00 Median $645.65 Typical High $724.44 | Professional | 52 · Reduced service | $302.00 | $645.65 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $257.04 Typical High $288.40 | Professional | 53 · Discontinued | $120.23 | $257.04 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $954.99 Typical High $1,096.48 | Professional | 54 · Surgery only | $446.68 | $954.99 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $190.55 Typical High $218.78 | Professional | 55 · Aftercare only | $89.13 | $190.55 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $128.82 Typical High $144.54 | Professional | 56 · Pre-op care only | $60.26 | $128.82 | $144.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $891.25 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $416.87 | $891.25 | $1,023.29 |
Where Mississippi sits
The same service costs 8.1 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· 13th of 51
$1,096
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.