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 $1,122.02 Typical High $2,818.38 | Facility | None | $758.58 | $1,122.02 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $3,311.31 Typical High $3,311.31 | Professional | None | $1,122.02 | $3,311.31 | $3,311.31 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
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 $323.59 Median $691.83 Typical High $3,090.30 | Facility | None | $323.59 | $691.83 | $3,090.30 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,348.96 Typical High $2,398.83 | Professional | None | $1,047.13 | $1,348.96 | $2,398.83 |
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 $562.34 Median $1,659.59 Typical High $1,659.59 | Professional | 52 · Reduced service | $562.34 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $676.08 Typical High $676.08 | Professional | 53 · Discontinued | $223.87 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $2,511.89 Typical High $2,511.89 | Professional | 54 · Surgery only | $851.14 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $501.19 Typical High $501.19 | Professional | 55 · Aftercare only | $169.82 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $331.13 Typical High $331.13 | Professional | 56 · Pre-op care only | $112.20 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $2,344.23 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $794.33 | $2,344.23 | $2,344.23 |
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· 30th of 51
$1,479
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.