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 $1,258.93 Median $3,235.94 Typical High $3,981.07 | Professional | None | $1,258.93 | $3,235.94 | $3,981.07 |
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 $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
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 $1,000.00 Median $2,137.96 Typical High $2,454.71 | Professional | None | $1,000.00 | $2,137.96 | $2,454.71 |
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 $1,445.44 Typical High $2,951.21 | Professional | None | $1,258.93 | $1,445.44 | $2,951.21 |
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 $630.96 Median $1,621.81 Typical High $1,995.26 | Professional | 52 · Reduced service | $630.96 | $1,621.81 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $645.65 Typical High $794.33 | Professional | 53 · Discontinued | $251.19 | $645.65 | $794.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $2,454.71 Typical High $3,019.95 | Professional | 54 · Surgery only | $933.25 | $2,454.71 | $3,019.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $489.78 Typical High $602.56 | Professional | 55 · Aftercare only | $190.55 | $489.78 | $602.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $323.59 Typical High $398.11 | Professional | 56 · Pre-op care only | $125.89 | $323.59 | $398.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $2,290.87 Typical High $2,818.38 | Professional | 78 · Unplanned return to OR | $870.96 | $2,290.87 | $2,818.38 |
Where Mississippi sits
The same service costs 7.2 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
$2,291
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.