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 $891.25 Typical High $2,570.40 | Facility | None | $707.95 | $891.25 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $2,238.72 Typical High $2,754.23 | Professional | None | $870.96 | $2,238.72 | $2,754.23 |
BCBS Mississippi Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $562.34 Typical High $1,148.15 | Facility | None | $457.09 | $562.34 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $1,202.26 Typical High $1,584.89 | Professional | None | $676.08 | $1,202.26 | $1,584.89 |
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 $302.00 Median $660.69 Typical High $1,819.70 | Facility | None | $302.00 | $660.69 | $1,819.70 |
United Setting Professional Modifier None Typical Low $691.83 Median $912.01 Typical High $1,949.84 | Professional | None | $691.83 | $912.01 | $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 $436.52 Median $1,122.02 Typical High $1,380.38 | Professional | 52 · Reduced service | $436.52 | $1,122.02 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $446.68 Typical High $549.54 | Professional | 53 · Discontinued | $173.78 | $446.68 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $1,698.24 Typical High $2,089.30 | Professional | 54 · Surgery only | $645.65 | $1,698.24 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $338.84 Typical High $416.87 | Professional | 55 · Aftercare only | $131.83 | $338.84 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $223.87 Typical High $275.42 | Professional | 56 · Pre-op care only | $87.10 | $223.87 | $275.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $1,584.89 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $602.56 | $1,584.89 | $1,949.84 |
Where Mississippi sits
The same service costs 22.4 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· 23rd of 51
$1,148
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.