How much rates vary
Facilitymedian $6,457 · 10th to 90th $550 to $23,988Professionalmedian $490 · 10th to 90th $275 to $912
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 $416.87 Median $891.25 Typical High $1,819.70 | Facility | None | $416.87 | $891.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $741.31 Typical High $912.01 | Professional | None | $288.40 | $741.31 | $912.01 |
BCBS Mississippi Setting Facility Modifier None Typical Low $23,988.33 Median $23,988.33 Typical High $23,988.33 | Facility | None | $23,988.33 | $23,988.33 | $23,988.33 |
BCBS Mississippi Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $12,882.50 Typical High $26,302.68 | Facility | None | $436.52 | $12,882.50 | $26,302.68 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $467.74 Typical High $524.81 | Professional | None | $251.19 | $467.74 | $524.81 |
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 $24,547.09 | Facility | None | $1,348.96 | $6,456.54 | $24,547.09 |
United Setting Professional Modifier None Typical Low $275.42 Median $323.59 Typical High $660.69 | Professional | None | $275.42 | $323.59 | $660.69 |
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 $144.54 Median $371.54 Typical High $457.09 | Professional | 52 · Reduced service | $144.54 | $371.54 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $147.91 Typical High $181.97 | Professional | 53 · Discontinued | $57.54 | $147.91 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $549.54 Typical High $691.83 | Professional | 54 · Surgery only | $213.80 | $549.54 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $112.20 Typical High $138.04 | Professional | 55 · Aftercare only | $42.66 | $112.20 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $74.13 Typical High $91.20 | Professional | 56 · Pre-op care only | $28.84 | $74.13 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $512.86 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $199.53 | $512.86 | $645.65 |
Where Mississippi sits
The same service costs 29.1 times more in Alabama than in Montana. 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.
Physician feeFacility fee
AL $30,626MT $1,051
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.