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 $2,884.03 | Facility | None | $776.25 | $1,174.90 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $3,162.28 Typical High $3,162.28 | Professional | None | $1,288.25 | $3,162.28 | $3,162.28 |
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 $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,884.03 Typical High $5,888.44 | Facility | None | $891.25 | $2,884.03 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,584.89 Typical High $1,949.84 | Professional | None | $933.25 | $1,584.89 | $1,949.84 |
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 $1,096.48 Median $1,318.26 Typical High $2,951.21 | Professional | None | $1,096.48 | $1,318.26 | $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 $645.65 Median $1,584.89 Typical High $1,584.89 | Professional | 52 · Reduced service | $645.65 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $630.96 Typical High $630.96 | Professional | 53 · Discontinued | $257.04 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $2,398.83 Typical High $2,398.83 | Professional | 54 · Surgery only | $977.24 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $478.63 Typical High $478.63 | Professional | 55 · Aftercare only | $194.98 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $316.23 Typical High $316.23 | Professional | 56 · Pre-op care only | $128.82 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $2,238.72 Typical High $2,238.72 | Professional | 78 · Unplanned return to OR | $912.01 | $2,238.72 | $2,238.72 |
Where Mississippi sits
The same service costs 6.6 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· 19th of 51
$1,995
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.