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 $1,174.90 Typical High $1,995.26 | Facility | None | $776.25 | $1,174.90 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $2,884.03 Typical High $2,884.03 | Professional | None | $1,174.90 | $2,884.03 | $2,884.03 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,659.59 | $1,659.59 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $2,884.03 Typical High $4,570.88 | Facility | None | $794.33 | $2,884.03 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,737.80 Typical High $1,995.26 | Professional | None | $851.14 | $1,737.80 | $1,995.26 |
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 $1,122.02 Median $2,511.89 Typical High $10,232.93 | Facility | None | $1,122.02 | $2,511.89 | $10,232.93 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,348.96 Typical High $2,951.21 | Professional | None | $1,047.13 | $1,348.96 | $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 $588.84 Median $1,445.44 Typical High $1,445.44 | Professional | 52 · Reduced service | $588.84 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $575.44 Typical High $575.44 | Professional | 53 · Discontinued | $234.42 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $2,187.76 Typical High $2,187.76 | Professional | 54 · Surgery only | $891.25 | $2,187.76 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $436.52 Typical High $436.52 | Professional | 55 · Aftercare only | $177.83 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $288.40 Typical High $288.40 | Professional | 56 · Pre-op care only | $117.49 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $2,041.74 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $831.76 | $2,041.74 | $2,041.74 |
Where Mississippi sits
The same service costs 6.8 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· 24th 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.