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 $1,148.15 Typical High $2,570.40 | Facility | None | $707.95 | $1,148.15 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $3,162.28 Typical High $3,890.45 | Professional | None | $1,202.26 | $3,162.28 | $3,890.45 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $3,890.45 Typical High $6,309.57 | Facility | None | $660.69 | $3,890.45 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $2,041.74 Typical High $2,344.23 | Professional | None | $954.99 | $2,041.74 | $2,344.23 |
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 $1,174.90 Median $1,380.38 Typical High $2,818.38 | Professional | None | $1,174.90 | $1,380.38 | $2,818.38 |
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 $602.56 Median $1,548.82 Typical High $1,949.84 | Professional | 52 · Reduced service | $602.56 | $1,548.82 | $1,949.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $630.96 Typical High $776.25 | Professional | 53 · Discontinued | $245.47 | $630.96 | $776.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $2,344.23 Typical High $2,884.03 | Professional | 54 · Surgery only | $912.01 | $2,344.23 | $2,884.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $467.74 Typical High $575.44 | Professional | 55 · Aftercare only | $181.97 | $467.74 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $316.23 Typical High $389.05 | Professional | 56 · Pre-op care only | $120.23 | $316.23 | $389.05 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $2,187.76 Typical High $2,691.53 | Professional | 78 · Unplanned return to OR | $851.14 | $2,187.76 | $2,691.53 |
Where Mississippi sits
The same service costs 11.0 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· 12th of 51
$2,239
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.