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 $1,122.02 Typical High $2,818.38 | Facility | None | $776.25 | $1,122.02 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $2,754.23 Typical High $2,754.23 | Professional | None | $1,122.02 | $2,754.23 | $2,754.23 |
BCBS Mississippi Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,344.23 | $2,344.23 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $3,019.95 Typical High $6,165.95 | Facility | None | $660.69 | $3,019.95 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,862.09 Typical High $2,398.83 | Professional | None | $977.24 | $1,862.09 | $2,398.83 |
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 $1,122.02 Median $2,511.89 Typical High $12,302.69 | Facility | None | $1,122.02 | $2,511.89 | $12,302.69 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,380.38 Typical High $3,019.95 | Professional | None | $1,258.93 | $1,380.38 | $3,019.95 |
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 $1,380.38 Typical High $1,380.38 | Professional | 52 · Reduced service | $562.34 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $549.54 Typical High $549.54 | Professional | 53 · Discontinued | $223.87 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $2,041.74 Typical High $2,041.74 | Professional | 54 · Surgery only | $851.14 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $407.38 Typical High $407.38 | Professional | 55 · Aftercare only | $169.82 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $275.42 Typical High $275.42 | Professional | 56 · Pre-op care only | $112.20 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $1,905.46 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $794.33 | $1,905.46 | $1,905.46 |
Where Mississippi sits
The same service costs 6.9 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· 17th of 51
$2,138
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.