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 $1,174.90 Typical High $1,995.26 | Facility | None | $776.25 | $1,174.90 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $2,454.71 Typical High $3,548.13 | Professional | None | $1,174.90 | $2,454.71 | $3,548.13 |
BCBS Mississippi Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Facility | None | $5,011.87 | $5,011.87 | $5,011.87 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,659.59 | $1,659.59 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $4,786.30 Typical High $9,772.37 | Facility | None | $660.69 | $4,786.30 | $9,772.37 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,862.09 Typical High $1,995.26 | Professional | None | $1,174.90 | $1,862.09 | $1,995.26 |
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 $1,348.96 Median $6,456.54 Typical High $18,620.87 | Facility | None | $1,348.96 | $6,456.54 | $18,620.87 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,318.26 Typical High $3,090.30 | Professional | None | $1,122.02 | $1,318.26 | $3,090.30 |
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 $588.84 Median $1,230.27 Typical High $1,778.28 | Professional | 52 · Reduced service | $588.84 | $1,230.27 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $489.78 Typical High $724.44 | Professional | 53 · Discontinued | $234.42 | $489.78 | $724.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $1,862.09 Typical High $2,691.53 | Professional | 54 · Surgery only | $870.96 | $1,862.09 | $2,691.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $371.54 Typical High $537.03 | Professional | 55 · Aftercare only | $173.78 | $371.54 | $537.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $245.47 Typical High $354.81 | Professional | 56 · Pre-op care only | $117.49 | $245.47 | $354.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $1,737.80 Typical High $2,511.89 | Professional | 78 · Unplanned return to OR | $812.83 | $1,737.80 | $2,511.89 |
Where Mississippi sits
The same service costs 25.7 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
$1,660
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.