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 $630.96 Median $891.25 Typical High $1,995.26 | Facility | None | $630.96 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $1,202.26 Typical High $1,778.28 | Professional | None | $575.44 | $1,202.26 | $1,778.28 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
BCBS Mississippi Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,380.38 Typical High $2,754.23 | Facility | None | $660.69 | $1,380.38 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $851.14 Typical High $977.24 | Professional | None | $562.34 | $851.14 | $977.24 |
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 $758.58 Median $1,412.54 Typical High $5,248.07 | Facility | None | $758.58 | $1,412.54 | $5,248.07 |
United Setting Professional Modifier None Typical Low $512.86 Median $630.96 Typical High $1,479.11 | Professional | None | $512.86 | $630.96 | $1,479.11 |
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 $288.40 Median $602.56 Typical High $870.96 | Professional | 52 · Reduced service | $288.40 | $602.56 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $239.88 Typical High $354.81 | Professional | 53 · Discontinued | $114.82 | $239.88 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $912.01 Typical High $1,318.26 | Professional | 54 · Surgery only | $426.58 | $912.01 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $181.97 Typical High $263.03 | Professional | 55 · Aftercare only | $85.11 | $181.97 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $120.23 Typical High $177.83 | Professional | 56 · Pre-op care only | $57.54 | $120.23 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $851.14 Typical High $1,230.27 | Professional | 78 · Unplanned return to OR | $398.11 | $851.14 | $1,230.27 |
Where Mississippi sits
The same service costs 5.6 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
$813
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.