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 $660.69 Median $891.25 Typical High $1,995.26 | Facility | None | $660.69 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $1,445.44 Typical High $1,621.81 | Professional | None | $660.69 | $1,445.44 | $1,621.81 |
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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,584.89 Typical High $3,019.95 | Facility | None | $660.69 | $1,584.89 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $1,202.26 Typical High $1,318.26 | Professional | None | $602.56 | $1,202.26 | $1,318.26 |
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 $758.58 Median $1,412.54 Typical High $6,025.60 | Facility | None | $758.58 | $1,412.54 | $6,025.60 |
United Setting Professional Modifier None Typical Low $645.65 Median $794.33 Typical High $1,621.81 | Professional | None | $645.65 | $794.33 | $1,621.81 |
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 $331.13 Median $707.95 Typical High $812.83 | Professional | 52 · Reduced service | $331.13 | $707.95 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $288.40 Typical High $323.59 | Professional | 53 · Discontinued | $134.90 | $288.40 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $1,071.52 Typical High $1,202.26 | Professional | 54 · Surgery only | $501.19 | $1,071.52 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $213.80 Typical High $239.88 | Professional | 55 · Aftercare only | $100.00 | $213.80 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $144.54 Typical High $162.18 | Professional | 56 · Pre-op care only | $66.07 | $144.54 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $1,000.00 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $467.74 | $1,000.00 | $1,122.02 |
Where Mississippi sits
The same service costs 6.6 times more in Alaska than in Utah. 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
$1,202
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.