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 $891.25 Typical High $2,570.40 | Facility | None | $630.96 | $891.25 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $1,288.25 Typical High $2,691.53 | Professional | None | $575.44 | $1,288.25 | $2,691.53 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,548.82 Typical High $3,162.28 | Facility | None | $660.69 | $1,548.82 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $977.24 Typical High $1,071.52 | Professional | None | $416.87 | $977.24 | $1,071.52 |
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 $549.54 Median $707.95 Typical High $1,548.82 | Professional | None | $549.54 | $707.95 | $1,548.82 |
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 $288.40 Median $645.65 Typical High $1,348.96 | Professional | 52 · Reduced service | $288.40 | $645.65 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $257.04 Typical High $537.03 | Professional | 53 · Discontinued | $117.49 | $257.04 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $954.99 Typical High $2,041.74 | Professional | 54 · Surgery only | $436.52 | $954.99 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $194.98 Typical High $407.38 | Professional | 55 · Aftercare only | $87.10 | $194.98 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $128.82 Typical High $269.15 | Professional | 56 · Pre-op care only | $57.54 | $128.82 | $269.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $891.25 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $407.38 | $891.25 | $1,905.46 |
Where Mississippi sits
The same service costs 5.9 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· 13th of 51
$1,288
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.