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 $758.58 Median $1,000.00 Typical High $2,398.83 | Facility | None | $758.58 | $1,000.00 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $2,089.30 Typical High $2,398.83 | Professional | None | $977.24 | $2,089.30 | $2,398.83 |
BCBS Mississippi Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $4,365.16 Typical High $7,079.46 | Facility | None | $660.69 | $4,365.16 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,479.11 Typical High $1,862.09 | Professional | None | $812.83 | $1,479.11 | $1,862.09 |
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 $12,589.25 | Facility | None | $1,380.38 | $3,311.31 | $12,589.25 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,047.13 Typical High $2,238.72 | Professional | None | $851.14 | $1,047.13 | $2,238.72 |
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 $489.78 Median $1,047.13 Typical High $1,202.26 | Professional | 52 · Reduced service | $489.78 | $1,047.13 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $426.58 Typical High $478.63 | Professional | 53 · Discontinued | $199.53 | $426.58 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $1,584.89 Typical High $1,778.28 | Professional | 54 · Surgery only | $741.31 | $1,584.89 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $316.23 Typical High $354.81 | Professional | 55 · Aftercare only | $147.91 | $316.23 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $208.93 Typical High $239.88 | Professional | 56 · Pre-op care only | $97.72 | $208.93 | $239.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $1,479.11 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $691.83 | $1,479.11 | $1,659.59 |
Where Mississippi sits
The same service costs 13.8 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· 15th of 51
$1,738
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.