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 $588.84 Median $1,000.00 Typical High $1,995.26 | Facility | None | $588.84 | $1,000.00 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $1,071.52 Typical High $1,412.54 | Professional | None | $446.68 | $1,071.52 | $1,412.54 |
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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,584.89 Typical High $3,090.30 | Facility | None | $794.33 | $1,584.89 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $831.76 Typical High $1,122.02 | Professional | None | $489.78 | $831.76 | $1,122.02 |
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 $478.63 Median $630.96 Typical High $1,380.38 | Professional | None | $478.63 | $630.96 | $1,380.38 |
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 $223.87 Median $537.03 Typical High $707.95 | Professional | 52 · Reduced service | $223.87 | $537.03 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $213.80 Typical High $281.84 | Professional | 53 · Discontinued | $89.13 | $213.80 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $812.83 Typical High $1,071.52 | Professional | 54 · Surgery only | $331.13 | $812.83 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $162.18 Typical High $213.80 | Professional | 55 · Aftercare only | $67.61 | $162.18 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $107.15 Typical High $141.25 | Professional | 56 · Pre-op care only | $44.67 | $107.15 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $758.58 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $309.03 | $758.58 | $1,000.00 |
Where Mississippi sits
The same service costs 5.8 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· 14th of 51
$912
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.