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 $630.96 Median $851.14 Typical High $1,995.26 | Facility | None | $630.96 | $851.14 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $758.58 Typical High $851.14 | Professional | None | $354.81 | $758.58 | $851.14 |
BCBS Mississippi Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
BCBS Mississippi Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $3,467.37 Typical High $5,495.41 | Facility | None | $660.69 | $3,467.37 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $602.56 Typical High $660.69 | Professional | None | $288.40 | $602.56 | $660.69 |
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 $9,120.11 | Facility | None | $758.58 | $1,412.54 | $9,120.11 |
United Setting Professional Modifier None Typical Low $331.13 Median $398.11 Typical High $912.01 | Professional | None | $331.13 | $398.11 | $912.01 |
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 $177.83 Median $380.19 Typical High $426.58 | Professional | 52 · Reduced service | $177.83 | $380.19 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $151.36 Typical High $169.82 | Professional | 53 · Discontinued | $70.79 | $151.36 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $562.34 Typical High $645.65 | Professional | 54 · Surgery only | $263.03 | $562.34 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $114.82 Typical High $128.82 | Professional | 55 · Aftercare only | $53.70 | $114.82 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $75.86 Typical High $85.11 | Professional | 56 · Pre-op care only | $35.48 | $75.86 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $524.81 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $245.47 | $524.81 | $602.56 |
Where Mississippi sits
The same service costs 7.2 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· 12th of 51
$741
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.