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 $389.05 Median $776.25 Typical High $1,819.70 | Facility | None | $389.05 | $776.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $851.14 Typical High $933.25 | Professional | None | $363.08 | $851.14 | $933.25 |
BCBS Mississippi Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
BCBS Mississippi Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $346.74 Typical High $776.25 | Facility | None | $281.84 | $346.74 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $457.09 Typical High $549.54 | Professional | None | $288.40 | $457.09 | $549.54 |
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 $616.60 Typical High $1,584.89 | Facility | None | $302.00 | $616.60 | $1,584.89 |
United Setting Professional Modifier None Typical Low $323.59 Median $389.05 Typical High $758.58 | Professional | None | $323.59 | $389.05 | $758.58 |
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 $177.83 Median $426.58 Typical High $467.74 | Professional | 52 · Reduced service | $177.83 | $426.58 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $169.82 Typical High $186.21 | Professional | 53 · Discontinued | $72.44 | $169.82 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $645.65 Typical High $691.83 | Professional | 54 · Surgery only | $269.15 | $645.65 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $128.82 Typical High $141.25 | Professional | 55 · Aftercare only | $53.70 | $128.82 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $85.11 Typical High $93.33 | Professional | 56 · Pre-op care only | $36.31 | $85.11 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $602.56 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $251.19 | $602.56 | $645.65 |
Where Mississippi sits
The same service costs 5.6 times more in Alaska 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· 21st of 51
$479
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.