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 $1,096.48 Typical High $2,884.03 | Facility | None | $776.25 | $1,096.48 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $2,089.30 Typical High $3,019.95 | Professional | None | $1,000.00 | $2,089.30 | $3,019.95 |
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 $5,888.44 | Facility | None | $891.25 | $2,884.03 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,348.96 Typical High $1,698.24 | Professional | None | $1,023.29 | $1,348.96 | $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 $1,122.02 Typical High $2,691.53 | Professional | None | $977.24 | $1,122.02 | $2,691.53 |
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 $489.78 Median $1,047.13 Typical High $1,513.56 | Professional | 52 · Reduced service | $489.78 | $1,047.13 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $416.87 Typical High $602.56 | Professional | 53 · Discontinued | $199.53 | $416.87 | $602.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $1,548.82 Typical High $2,290.87 | Professional | 54 · Surgery only | $741.31 | $1,548.82 | $2,290.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $316.23 Typical High $457.09 | Professional | 55 · Aftercare only | $147.91 | $316.23 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $208.93 Typical High $302.00 | Professional | 56 · Pre-op care only | $100.00 | $208.93 | $302.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $1,445.44 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $691.83 | $1,445.44 | $2,137.96 |
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· 24th of 51
$1,413
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.