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 $478.63 Median $1,071.52 Typical High $2,238.72 | Professional | None | $478.63 | $1,071.52 | $2,238.72 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
BCBS Mississippi Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $2,187.76 Typical High $3,467.37 | Facility | None | $794.33 | $2,187.76 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $741.31 Typical High $812.83 | Professional | None | $346.74 | $741.31 | $812.83 |
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 $1,737.80 Typical High $6,456.54 | Facility | None | $977.24 | $1,737.80 | $6,456.54 |
United Setting Professional Modifier None Typical Low $446.68 Median $537.03 Typical High $1,230.27 | Professional | None | $446.68 | $537.03 | $1,230.27 |
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 $239.88 Median $537.03 Typical High $1,122.02 | Professional | 52 · Reduced service | $239.88 | $537.03 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $213.80 Typical High $446.68 | Professional | 53 · Discontinued | $95.50 | $213.80 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $794.33 Typical High $1,659.59 | Professional | 54 · Surgery only | $363.08 | $794.33 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $158.49 Typical High $331.13 | Professional | 55 · Aftercare only | $72.44 | $158.49 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $107.15 Typical High $223.87 | Professional | 56 · Pre-op care only | $47.86 | $107.15 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $741.31 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $338.84 | $741.31 | $1,548.82 |
Where Mississippi sits
The same service costs 5.4 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· 28th of 51
$871
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.