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 $1,047.13 Typical High $1,995.26 | Facility | None | $776.25 | $1,047.13 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,949.84 Typical High $2,238.72 | Professional | None | $912.01 | $1,949.84 | $2,238.72 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $4,365.16 Typical High $7,079.46 | Facility | None | $660.69 | $4,365.16 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,698.24 Typical High $1,819.70 | Professional | None | $933.25 | $1,698.24 | $1,819.70 |
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 $1,380.38 Median $3,311.31 Typical High $13,182.57 | Facility | None | $1,380.38 | $3,311.31 | $13,182.57 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,071.52 Typical High $2,454.71 | Professional | None | $933.25 | $1,071.52 | $2,454.71 |
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 $457.09 Median $977.24 Typical High $1,122.02 | Professional | 52 · Reduced service | $457.09 | $977.24 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $389.05 Typical High $446.68 | Professional | 53 · Discontinued | $181.97 | $389.05 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $1,479.11 Typical High $1,659.59 | Professional | 54 · Surgery only | $691.83 | $1,479.11 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $295.12 Typical High $331.13 | Professional | 55 · Aftercare only | $138.04 | $295.12 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $194.98 Typical High $223.87 | Professional | 56 · Pre-op care only | $91.20 | $194.98 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $1,380.38 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $645.65 | $1,380.38 | $1,548.82 |
Where Mississippi sits
The same service costs 14.8 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· 15th of 51
$1,698
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.