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 $3,311.31 | Facility | None | $776.25 | $1,174.90 | $3,311.31 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $3,311.31 Typical High $4,168.69 | Professional | None | $1,096.48 | $3,311.31 | $4,168.69 |
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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,884.03 Typical High $4,570.88 | Facility | None | $891.25 | $2,884.03 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,584.89 Typical High $2,290.87 | Professional | None | $1,096.48 | $1,584.89 | $2,290.87 |
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 $1,047.13 Median $1,479.11 Typical High $3,311.31 | Professional | None | $1,047.13 | $1,479.11 | $3,311.31 |
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 $1,659.59 Typical High $2,089.30 | Professional | 52 · Reduced service | $549.54 | $1,659.59 | $2,089.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $660.69 Typical High $831.76 | Professional | 53 · Discontinued | $218.78 | $660.69 | $831.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $2,511.89 Typical High $3,162.28 | Professional | 54 · Surgery only | $812.83 | $2,511.89 | $3,162.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $501.19 Typical High $630.96 | Professional | 55 · Aftercare only | $162.18 | $501.19 | $630.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $331.13 Typical High $416.87 | Professional | 56 · Pre-op care only | $109.65 | $331.13 | $416.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $2,344.23 Typical High $2,951.21 | Professional | 78 · Unplanned return to OR | $758.58 | $2,344.23 | $2,951.21 |
Where Mississippi sits
The same service costs 5.2 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· 22nd of 51
$1,862
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.