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 $537.03 Median $776.25 Typical High $1,819.70 | Facility | None | $537.03 | $776.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $776.25 Typical High $1,288.25 | Professional | None | $323.59 | $776.25 | $1,288.25 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $2,818.38 Typical High $4,570.88 | Facility | None | $630.96 | $2,818.38 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $660.69 Typical High $1,122.02 | Professional | None | $426.58 | $660.69 | $1,122.02 |
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 $10,232.93 | Facility | None | $1,122.02 | $2,511.89 | $10,232.93 |
United Setting Professional Modifier None Typical Low $346.74 Median $630.96 Typical High $1,348.96 | Professional | None | $346.74 | $630.96 | $1,348.96 |
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 $162.18 Median $389.05 Typical High $645.65 | Professional | 52 · Reduced service | $162.18 | $389.05 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $158.49 Typical High $257.04 | Professional | 53 · Discontinued | $64.57 | $158.49 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $588.84 Typical High $977.24 | Professional | 54 · Surgery only | $245.47 | $588.84 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $117.49 Typical High $194.98 | Professional | 55 · Aftercare only | $48.98 | $117.49 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $77.62 Typical High $128.82 | Professional | 56 · Pre-op care only | $32.36 | $77.62 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $549.54 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $229.09 | $549.54 | $912.01 |
Where Mississippi sits
The same service costs 4.9 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· 16th of 51
$776
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.