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 $416.87 Median $891.25 Typical High $1,819.70 | Facility | None | $416.87 | $891.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $851.14 Typical High $1,230.27 | Professional | None | $407.38 | $851.14 | $1,230.27 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
BCBS Mississippi Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,412.54 Typical High $2,398.83 | Facility | None | $436.52 | $1,412.54 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $575.44 Typical High $676.08 | Professional | None | $407.38 | $575.44 | $676.08 |
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 $467.74 Median $758.58 Typical High $5,370.32 | Facility | None | $467.74 | $758.58 | $5,370.32 |
United Setting Professional Modifier None Typical Low $389.05 Median $457.09 Typical High $1,071.52 | Professional | None | $389.05 | $457.09 | $1,071.52 |
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 $204.17 Median $426.58 Typical High $616.60 | Professional | 52 · Reduced service | $204.17 | $426.58 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $169.82 Typical High $245.47 | Professional | 53 · Discontinued | $81.28 | $169.82 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $645.65 Typical High $933.25 | Professional | 54 · Surgery only | $302.00 | $645.65 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $128.82 Typical High $186.21 | Professional | 55 · Aftercare only | $60.26 | $128.82 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $85.11 Typical High $123.03 | Professional | 56 · Pre-op care only | $40.74 | $85.11 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $602.56 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $281.84 | $602.56 | $870.96 |
Where Mississippi sits
The same service costs 6.2 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· 30th of 51
$501
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.