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 $524.81 Median $1,000.00 Typical High $1,995.26 | Facility | None | $524.81 | $1,000.00 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $1,096.48 Typical High $1,621.81 | Professional | None | $524.81 | $1,096.48 | $1,621.81 |
BCBS Mississippi Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $660.69 Typical High $1,258.93 | Facility | None | $436.52 | $660.69 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $776.25 Typical High $891.25 | Professional | None | $512.86 | $776.25 | $891.25 |
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 $2,951.21 | Facility | None | $467.74 | $758.58 | $2,951.21 |
United Setting Professional Modifier None Typical Low $478.63 Median $588.84 Typical High $1,348.96 | Professional | None | $478.63 | $588.84 | $1,348.96 |
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 $263.03 Median $549.54 Typical High $812.83 | Professional | 52 · Reduced service | $263.03 | $549.54 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $218.78 Typical High $323.59 | Professional | 53 · Discontinued | $104.71 | $218.78 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $831.76 Typical High $1,202.26 | Professional | 54 · Surgery only | $389.05 | $831.76 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $165.96 Typical High $239.88 | Professional | 55 · Aftercare only | $79.43 | $165.96 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $109.65 Typical High $162.18 | Professional | 56 · Pre-op care only | $52.48 | $109.65 | $162.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $776.25 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $363.08 | $776.25 | $1,122.02 |
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· 21st of 51
$776
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.