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 $776.25 Median $1,148.15 Typical High $1,995.26 | Facility | None | $776.25 | $1,148.15 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $2,511.89 Typical High $2,818.38 | Professional | None | $1,148.15 | $2,511.89 | $2,818.38 |
BCBS Mississippi Setting Facility Modifier None Typical Low $11,481.54 Median $11,481.54 Typical High $11,481.54 | Facility | None | $11,481.54 | $11,481.54 | $11,481.54 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $8,317.64 Typical High $13,182.57 | Facility | None | $794.33 | $8,317.64 | $13,182.57 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,949.84 Typical High $2,238.72 | Professional | None | $954.99 | $1,949.84 | $2,238.72 |
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 $16,218.10 | Facility | None | $1,380.38 | $3,311.31 | $16,218.10 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,288.25 Typical High $2,951.21 | Professional | None | $1,174.90 | $1,288.25 | $2,951.21 |
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 $575.44 Median $1,230.27 Typical High $1,412.54 | Professional | 52 · Reduced service | $575.44 | $1,230.27 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $501.19 Typical High $562.34 | Professional | 53 · Discontinued | $234.42 | $501.19 | $562.34 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $1,862.09 Typical High $2,089.30 | Professional | 54 · Surgery only | $870.96 | $1,862.09 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $371.54 Typical High $416.87 | Professional | 55 · Aftercare only | $173.78 | $371.54 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $251.19 Typical High $281.84 | Professional | 56 · Pre-op care only | $114.82 | $251.19 | $281.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $1,737.80 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $812.83 | $1,737.80 | $1,949.84 |
Where Mississippi sits
The same service costs 7.4 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· 18th of 51
$2,042
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.