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 $1,148.15 Typical High $2,818.38 | Facility | None | $776.25 | $1,148.15 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $2,454.71 Typical High $2,754.23 | Professional | None | $1,148.15 | $2,454.71 | $2,754.23 |
Ambetter Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
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 $933.25 Median $1,995.26 Typical High $2,187.76 | Professional | None | $933.25 | $1,995.26 | $2,187.76 |
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 $1,122.02 Median $2,511.89 Typical High $10,232.93 | Facility | None | $1,122.02 | $2,511.89 | $10,232.93 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,258.93 Typical High $2,818.38 | Professional | None | $1,122.02 | $1,258.93 | $2,818.38 |
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 $575.44 Median $1,230.27 Typical High $1,380.38 | Professional | 52 · Reduced service | $575.44 | $1,230.27 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $489.78 Typical High $549.54 | Professional | 53 · Discontinued | $229.09 | $489.78 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $1,819.70 Typical High $2,089.30 | Professional | 54 · Surgery only | $851.14 | $1,819.70 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $363.08 Typical High $416.87 | Professional | 55 · Aftercare only | $169.82 | $363.08 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $245.47 Typical High $275.42 | Professional | 56 · Pre-op care only | $114.82 | $245.47 | $275.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $1,698.24 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $794.33 | $1,698.24 | $1,949.84 |
Where Mississippi sits
The same service costs 17.8 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· 14th of 51
$1,995
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.