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 $1,380.38 Typical High $3,388.44 | Facility | None | $776.25 | $1,380.38 | $3,388.44 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $2,290.87 Typical High $3,388.44 | Professional | None | $1,096.48 | $2,290.87 | $3,388.44 |
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 $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $2,884.03 Typical High $4,677.35 | Facility | None | $1,258.93 | $2,884.03 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,258.93 Typical High $1,698.24 | Professional | None | $870.96 | $1,258.93 | $1,698.24 |
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 $977.24 Median $1,288.25 Typical High $2,754.23 | Professional | None | $977.24 | $1,288.25 | $2,754.23 |
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 $549.54 Median $1,148.15 Typical High $1,698.24 | Professional | 52 · Reduced service | $549.54 | $1,148.15 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $467.74 Typical High $676.08 | Professional | 53 · Discontinued | $218.78 | $467.74 | $676.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $1,737.80 Typical High $2,511.89 | Professional | 54 · Surgery only | $831.76 | $1,737.80 | $2,511.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $346.74 Typical High $501.19 | Professional | 55 · Aftercare only | $165.96 | $346.74 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $229.09 Typical High $338.84 | Professional | 56 · Pre-op care only | $109.65 | $229.09 | $338.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $776.25 Median $1,621.81 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $776.25 | $1,621.81 | $2,344.23 |
Where Mississippi sits
The same service costs 5.5 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.