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 $302.00 Median $1,000.00 Typical High $2,818.38 | Facility | None | $302.00 | $1,000.00 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $660.69 Typical High $707.95 | Professional | None | $275.42 | $660.69 | $707.95 |
BCBS Mississippi Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $208.93 Typical High $524.81 | Facility | None | $169.82 | $208.93 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $812.83 Typical High $912.01 | Professional | None | $218.78 | $812.83 | $912.01 |
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 $257.04 Median $588.84 Typical High $1,000.00 | Professional | None | $257.04 | $588.84 | $1,000.00 |
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 $138.04 Median $331.13 Typical High $354.81 | Professional | 52 · Reduced service | $138.04 | $331.13 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $131.83 Typical High $141.25 | Professional | 53 · Discontinued | $54.95 | $131.83 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $501.19 Typical High $537.03 | Professional | 54 · Surgery only | $208.93 | $501.19 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $100.00 Typical High $107.15 | Professional | 55 · Aftercare only | $41.69 | $100.00 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $66.07 Typical High $70.79 | Professional | 56 · Pre-op care only | $27.54 | $66.07 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $467.74 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $194.98 | $467.74 | $501.19 |
Where Mississippi sits
The same service costs 5.0 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· 5th of 51
$661
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.