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 $549.54 Median $891.25 Typical High $1,819.70 | Facility | None | $549.54 | $891.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $1,148.15 Typical High $1,288.25 | Professional | None | $537.03 | $1,148.15 | $1,288.25 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
BCBS Mississippi Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,949.84 Typical High $3,981.07 | Facility | None | $630.96 | $1,949.84 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $954.99 Typical High $1,000.00 | Professional | None | $436.52 | $954.99 | $1,000.00 |
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 $6,606.93 | Facility | None | $977.24 | $1,737.80 | $6,606.93 |
United Setting Professional Modifier None Typical Low $537.03 Median $602.56 Typical High $1,348.96 | Professional | None | $537.03 | $602.56 | $1,348.96 |
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 $269.15 Median $575.44 Typical High $645.65 | Professional | 52 · Reduced service | $269.15 | $575.44 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $229.09 Typical High $257.04 | Professional | 53 · Discontinued | $107.15 | $229.09 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $851.14 Typical High $954.99 | Professional | 54 · Surgery only | $398.11 | $851.14 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $169.82 Typical High $194.98 | Professional | 55 · Aftercare only | $79.43 | $169.82 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $114.82 Typical High $128.82 | Professional | 56 · Pre-op care only | $53.70 | $114.82 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $794.33 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $371.54 | $794.33 | $912.01 |
Where Mississippi sits
The same service costs 7.9 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· 14th of 51
$977
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.