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 $776.25 Median $1,202.26 Typical High $1,995.26 | Facility | None | $776.25 | $1,202.26 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $2,570.40 Typical High $2,884.03 | Professional | None | $1,202.26 | $2,570.40 | $2,884.03 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $2,818.38 Typical High $4,570.88 | Facility | None | $660.69 | $2,818.38 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $2,089.30 Typical High $2,344.23 | Professional | None | $977.24 | $2,089.30 | $2,344.23 |
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 $1,148.15 Median $2,511.89 Typical High $10,715.19 | Facility | None | $1,148.15 | $2,511.89 | $10,715.19 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,380.38 Typical High $3,235.94 | Professional | None | $1,202.26 | $1,380.38 | $3,235.94 |
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 $602.56 Median $1,288.25 Typical High $1,445.44 | Professional | 52 · Reduced service | $602.56 | $1,288.25 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $512.86 Typical High $575.44 | Professional | 53 · Discontinued | $239.88 | $512.86 | $575.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $1,905.46 Typical High $2,187.76 | Professional | 54 · Surgery only | $891.25 | $1,905.46 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $380.19 Typical High $436.52 | Professional | 55 · Aftercare only | $177.83 | $380.19 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $257.04 Typical High $288.40 | Professional | 56 · Pre-op care only | $120.23 | $257.04 | $288.40 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $1,778.28 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $831.76 | $1,778.28 | $2,041.74 |
Where Mississippi sits
The same service costs 15.1 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· 13th of 51
$2,239
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.