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 $1,096.48 Typical High $2,818.38 | Facility | None | $776.25 | $1,096.48 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $2,344.23 Typical High $2,630.27 | Professional | None | $1,096.48 | $2,344.23 | $2,630.27 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $4,570.88 Typical High $7,244.36 | Facility | None | $660.69 | $4,570.88 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,862.09 Typical High $2,089.30 | Professional | None | $891.25 | $1,862.09 | $2,089.30 |
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 $1,096.48 Median $1,230.27 Typical High $2,884.03 | Professional | None | $1,096.48 | $1,230.27 | $2,884.03 |
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 $549.54 Median $1,174.90 Typical High $1,318.26 | Professional | 52 · Reduced service | $549.54 | $1,174.90 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $467.74 Typical High $524.81 | Professional | 53 · Discontinued | $218.78 | $467.74 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $1,737.80 Typical High $1,995.26 | Professional | 54 · Surgery only | $812.83 | $1,737.80 | $1,995.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $354.81 Typical High $398.11 | Professional | 55 · Aftercare only | $165.96 | $354.81 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $234.42 Typical High $263.03 | Professional | 56 · Pre-op care only | $109.65 | $234.42 | $263.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $1,621.81 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $758.58 | $1,621.81 | $1,862.09 |
Where Mississippi sits
The same service costs 8.7 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
$1,995
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.