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 $1,288.25 Typical High $1,995.26 | Facility | None | $776.25 | $1,288.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $2,754.23 Typical High $3,090.30 | Professional | None | $1,288.25 | $2,754.23 | $3,090.30 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,511.89 | $2,511.89 | $2,511.89 |
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 $1,047.13 Median $2,238.72 Typical High $2,511.89 | Professional | None | $1,047.13 | $2,238.72 | $2,511.89 |
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 $1,288.25 Median $1,445.44 Typical High $3,235.94 | Professional | None | $1,288.25 | $1,445.44 | $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 $645.65 Median $1,380.38 Typical High $1,548.82 | Professional | 52 · Reduced service | $645.65 | $1,380.38 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $549.54 Typical High $616.60 | Professional | 53 · Discontinued | $257.04 | $549.54 | $616.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $2,041.74 Typical High $2,344.23 | Professional | 54 · Surgery only | $954.99 | $2,041.74 | $2,344.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $407.38 Typical High $467.74 | Professional | 55 · Aftercare only | $190.55 | $407.38 | $467.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $275.42 Typical High $309.03 | Professional | 56 · Pre-op care only | $128.82 | $275.42 | $309.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $1,905.46 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $891.25 | $1,905.46 | $2,187.76 |
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· 13th of 51
$2,291
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.