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 $2,511.89 | Facility | None | $776.25 | $1,318.26 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $5,370.32 Typical High $6,165.95 | Professional | None | $2,511.89 | $5,370.32 | $6,165.95 |
BCBS Mississippi Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Professional | None | $5,495.41 | $5,495.41 | $5,495.41 |
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 $2,089.30 Median $4,365.16 Typical High $4,897.79 | Professional | None | $2,089.30 | $4,365.16 | $4,897.79 |
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 $2,511.89 Median $2,951.21 Typical High $6,606.93 | Professional | None | $2,511.89 | $2,951.21 | $6,606.93 |
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 $1,258.93 Median $2,691.53 Typical High $3,019.95 | Professional | 52 · Reduced service | $1,258.93 | $2,691.53 | $3,019.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $1,071.52 Typical High $1,230.27 | Professional | 53 · Discontinued | $501.19 | $1,071.52 | $1,230.27 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $4,073.80 Typical High $4,570.88 | Professional | 54 · Surgery only | $1,905.46 | $4,073.80 | $4,570.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $812.83 Typical High $912.01 | Professional | 55 · Aftercare only | $380.19 | $812.83 | $912.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $251.19 Median $537.03 Typical High $616.60 | Professional | 56 · Pre-op care only | $251.19 | $537.03 | $616.60 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $3,801.89 Typical High $4,265.80 | Professional | 78 · Unplanned return to OR | $1,778.28 | $3,801.89 | $4,265.80 |
Where Mississippi sits
The same service costs 20.9 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· 19th of 51
$3,981
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.