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 $1,047.13 Typical High $1,995.26 | Facility | None | $758.58 | $1,047.13 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $1,202.26 Typical High $1,380.38 | Professional | None | $562.34 | $1,202.26 | $1,380.38 |
BCBS Mississippi Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $891.25 Typical High $2,041.74 | Facility | None | $758.58 | $891.25 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $954.99 Typical High $1,047.13 | Professional | None | $457.09 | $954.99 | $1,047.13 |
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 $977.24 Median $1,862.09 Typical High $5,495.41 | Facility | None | $977.24 | $1,862.09 | $5,495.41 |
United Setting Professional Modifier None Typical Low $537.03 Median $588.84 Typical High $1,445.44 | Professional | None | $537.03 | $588.84 | $1,445.44 |
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 $281.84 Median $602.56 Typical High $676.08 | Professional | 52 · Reduced service | $281.84 | $602.56 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $239.88 Typical High $275.42 | Professional | 53 · Discontinued | $112.20 | $239.88 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $912.01 Typical High $1,023.29 | Professional | 54 · Surgery only | $426.58 | $912.01 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $181.97 Typical High $204.17 | Professional | 55 · Aftercare only | $85.11 | $181.97 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $120.23 Typical High $138.04 | Professional | 56 · Pre-op care only | $56.23 | $120.23 | $138.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $851.14 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $398.11 | $851.14 | $954.99 |
Where Mississippi sits
The same service costs 7.2 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· 14th of 51
$1,023
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.