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 $1,995.26 | Facility | None | $630.96 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $1,071.52 Typical High $1,071.52 | Professional | None | $426.58 | $1,071.52 | $1,071.52 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,513.56 Typical High $3,090.30 | Facility | None | $660.69 | $1,513.56 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $758.58 Typical High $870.96 | Professional | None | $380.19 | $758.58 | $870.96 |
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 $758.58 Median $1,412.54 Typical High $6,760.83 | Facility | None | $758.58 | $1,412.54 | $6,760.83 |
United Setting Professional Modifier None Typical Low $446.68 Median $512.86 Typical High $1,122.02 | Professional | None | $446.68 | $512.86 | $1,122.02 |
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 $213.80 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $213.80 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $87.10 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $794.33 Typical High $794.33 | Professional | 54 · Surgery only | $323.59 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $64.57 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $42.66 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $741.31 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $302.00 | $741.31 | $741.31 |
Where Mississippi sits
The same service costs 5.4 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· 19th of 51
$912
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.