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 $758.58 Median $1,380.38 Typical High $2,818.38 | Facility | None | $758.58 | $1,380.38 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $1,348.96 Typical High $1,995.26 | Professional | None | $645.65 | $1,348.96 | $1,995.26 |
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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $2,884.03 Typical High $5,888.44 | Facility | None | $1,258.93 | $2,884.03 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $891.25 Typical High $1,096.48 | Professional | None | $660.69 | $891.25 | $1,096.48 |
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 $630.96 Median $741.31 Typical High $1,819.70 | Professional | None | $630.96 | $741.31 | $1,819.70 |
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 $323.59 Median $676.08 Typical High $977.24 | Professional | 52 · Reduced service | $323.59 | $676.08 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $269.15 Typical High $398.11 | Professional | 53 · Discontinued | $128.82 | $269.15 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $1,023.29 Typical High $1,479.11 | Professional | 54 · Surgery only | $478.63 | $1,023.29 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $204.17 Typical High $295.12 | Professional | 55 · Aftercare only | $97.72 | $204.17 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $134.90 Typical High $199.53 | Professional | 56 · Pre-op care only | $64.57 | $134.90 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $954.99 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $446.68 | $954.99 | $1,380.38 |
Where Mississippi sits
The same service costs 6.3 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
$933
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.