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 $933.25 Typical High $2,187.76 | Facility | None | $707.95 | $933.25 | $2,187.76 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $2,137.96 Typical High $2,187.76 | Professional | None | $851.14 | $2,137.96 | $2,187.76 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,659.59 Typical High $3,311.31 | Facility | None | $660.69 | $1,659.59 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $1,023.29 Typical High $1,174.90 | Professional | None | $676.08 | $1,023.29 | $1,174.90 |
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 $977.24 Median $1,737.80 Typical High $7,244.36 | Facility | None | $977.24 | $1,737.80 | $7,244.36 |
United Setting Professional Modifier None Typical Low $724.44 Median $891.25 Typical High $1,698.24 | Professional | None | $724.44 | $891.25 | $1,698.24 |
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 $426.58 Median $1,047.13 Typical High $1,096.48 | Professional | 52 · Reduced service | $426.58 | $1,047.13 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $426.58 Typical High $436.52 | Professional | 53 · Discontinued | $169.82 | $426.58 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $1,584.89 Typical High $1,659.59 | Professional | 54 · Surgery only | $645.65 | $1,584.89 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $316.23 Typical High $331.13 | Professional | 55 · Aftercare only | $128.82 | $316.23 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $213.80 Typical High $218.78 | Professional | 56 · Pre-op care only | $85.11 | $213.80 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $1,479.11 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $602.56 | $1,479.11 | $1,548.82 |
Where Mississippi sits
The same service costs 8.1 times more in Wyoming than in Utah. 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· 28th 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.