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 $363.08 Median $891.25 Typical High $1,995.26 | Facility | None | $363.08 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $616.60 Typical High $891.25 | Professional | None | $257.04 | $616.60 | $891.25 |
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 $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
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 $309.03 Median $489.78 Typical High $707.95 | Professional | None | $309.03 | $489.78 | $707.95 |
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 $269.15 Median $407.38 Typical High $851.14 | Professional | None | $269.15 | $407.38 | $851.14 |
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 $128.82 Median $309.03 Typical High $446.68 | Professional | 52 · Reduced service | $128.82 | $309.03 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $123.03 Typical High $177.83 | Professional | 53 · Discontinued | $51.29 | $123.03 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $467.74 Typical High $660.69 | Professional | 54 · Surgery only | $190.55 | $467.74 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $93.33 Typical High $131.83 | Professional | 55 · Aftercare only | $38.02 | $93.33 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $61.66 Typical High $89.13 | Professional | 56 · Pre-op care only | $25.70 | $61.66 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $177.83 Median $436.52 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $177.83 | $436.52 | $616.60 |
Where Mississippi sits
The same service costs 5.9 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· 10th of 51
$617
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.