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 $707.95 Median $977.24 Typical High $2,454.71 | Facility | None | $707.95 | $977.24 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $2,454.71 Typical High $2,454.71 | Professional | None | $977.24 | $2,454.71 | $2,454.71 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $4,677.35 Typical High $7,413.10 | Facility | None | $660.69 | $4,677.35 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $1,513.56 Typical High $1,778.28 | Professional | None | $691.83 | $1,513.56 | $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 $977.24 Median $1,737.80 Typical High $11,748.98 | Facility | None | $977.24 | $1,737.80 | $11,748.98 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,023.29 Typical High $1,949.84 | Professional | None | $912.01 | $1,023.29 | $1,949.84 |
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 $489.78 Median $1,230.27 Typical High $1,230.27 | Professional | 52 · Reduced service | $489.78 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $489.78 Typical High $489.78 | Professional | 53 · Discontinued | $194.98 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $1,862.09 Typical High $1,862.09 | Professional | 54 · Surgery only | $724.44 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $371.54 Typical High $371.54 | Professional | 55 · Aftercare only | $144.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $245.47 Typical High $245.47 | Professional | 56 · Pre-op care only | $97.72 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $1,737.80 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $676.08 | $1,737.80 | $1,737.80 |
Where Mississippi sits
The same service costs 6.3 times more in Oklahoma than in Utah. 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· 16th of 51
$1,738
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.