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 $263.03 Median $758.58 Typical High $1,819.70 | Facility | None | $263.03 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $331.13 Typical High $616.60 | Professional | None | $141.25 | $331.13 | $616.60 |
BCBS Mississippi Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
BCBS Mississippi Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $588.84 Typical High $1,148.15 | Facility | None | $512.86 | $588.84 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $204.17 Typical High $371.54 | Professional | None | $131.83 | $204.17 | $371.54 |
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 $467.74 Median $758.58 Typical High $2,570.40 | Facility | None | $467.74 | $758.58 | $2,570.40 |
United Setting Professional Modifier None Typical Low $128.82 Median $245.47 Typical High $489.78 | Professional | None | $128.82 | $245.47 | $489.78 |
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 $70.79 Median $165.96 Typical High $309.03 | Professional | 52 · Reduced service | $70.79 | $165.96 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $67.61 Typical High $125.89 | Professional | 53 · Discontinued | $28.18 | $67.61 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $251.19 Typical High $467.74 | Professional | 54 · Surgery only | $104.71 | $251.19 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $50.12 Typical High $93.33 | Professional | 55 · Aftercare only | $20.89 | $50.12 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $33.11 Typical High $61.66 | Professional | 56 · Pre-op care only | $14.13 | $33.11 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $97.72 Median $234.42 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $97.72 | $234.42 | $436.52 |
Where Mississippi sits
The same service costs 4.7 times more in Alaska than in Virginia. 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· 13th of 51
$331
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.