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 $1,318.26 Typical High $1,995.26 | Facility | None | $776.25 | $1,318.26 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $3,090.30 Typical High $3,548.13 | Professional | None | $1,445.44 | $3,090.30 | $3,548.13 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $3,630.78 Typical High $5,754.40 | Facility | None | $660.69 | $3,630.78 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $2,630.27 Typical High $2,884.03 | Professional | None | $1,202.26 | $2,630.27 | $2,884.03 |
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 $1,445.44 Median $1,659.59 Typical High $3,981.07 | Professional | None | $1,445.44 | $1,659.59 | $3,981.07 |
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 $724.44 Median $1,548.82 Typical High $1,737.80 | Professional | 52 · Reduced service | $724.44 | $1,548.82 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $616.60 Typical High $707.95 | Professional | 53 · Discontinued | $288.40 | $616.60 | $707.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $2,344.23 Typical High $2,630.27 | Professional | 54 · Surgery only | $1,096.48 | $2,344.23 | $2,630.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $467.74 Typical High $524.81 | Professional | 55 · Aftercare only | $218.78 | $467.74 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $309.03 Typical High $354.81 | Professional | 56 · Pre-op care only | $144.54 | $309.03 | $354.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $2,187.76 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $1,023.29 | $2,187.76 | $2,454.71 |
Where Mississippi sits
The same service costs 19.5 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· 15th of 51
$2,570
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.