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 $2,041.74 | Facility | None | $776.25 | $1,318.26 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $4,365.16 Typical High $5,011.87 | Professional | None | $2,041.74 | $4,365.16 | $5,011.87 |
BCBS Mississippi Setting Professional Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Professional | None | $4,265.80 | $4,265.80 | $4,265.80 |
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 $1,659.59 Median $3,630.78 Typical High $3,981.07 | Professional | None | $1,659.59 | $3,630.78 | $3,981.07 |
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 $2,089.30 Median $2,344.23 Typical High $5,623.41 | Professional | None | $2,089.30 | $2,344.23 | $5,623.41 |
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 $1,023.29 Median $2,187.76 Typical High $2,511.89 | Professional | 52 · Reduced service | $1,023.29 | $2,187.76 | $2,511.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $891.25 Typical High $1,000.00 | Professional | 53 · Discontinued | $416.87 | $891.25 | $1,000.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $3,311.31 Typical High $3,715.35 | Professional | 54 · Surgery only | $1,548.82 | $3,311.31 | $3,715.35 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $660.69 Typical High $741.31 | Professional | 55 · Aftercare only | $309.03 | $660.69 | $741.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $436.52 Typical High $501.19 | Professional | 56 · Pre-op care only | $204.17 | $436.52 | $501.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $3,090.30 Typical High $3,467.37 | Professional | 78 · Unplanned return to OR | $1,445.44 | $3,090.30 | $3,467.37 |
Where Mississippi sits
The same service costs 21.9 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· 17th of 51
$3,388
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.