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 $1,174.90 Typical High $2,884.03 | Facility | None | $776.25 | $1,174.90 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $3,388.44 Typical High $3,801.89 | Professional | None | $1,479.11 | $3,388.44 | $3,801.89 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $3,467.37 Typical High $5,495.41 | Facility | None | $660.69 | $3,467.37 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $2,570.40 Typical High $2,884.03 | Professional | None | $1,258.93 | $2,570.40 | $2,884.03 |
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 $12,589.25 | Facility | None | $1,380.38 | $3,311.31 | $12,589.25 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $1,621.81 Typical High $3,630.78 | Professional | None | $1,380.38 | $1,621.81 | $3,630.78 |
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 $794.33 Median $1,698.24 Typical High $1,905.46 | Professional | 52 · Reduced service | $794.33 | $1,698.24 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $676.08 Typical High $758.58 | Professional | 53 · Discontinued | $316.23 | $676.08 | $758.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,174.90 Median $2,511.89 Typical High $2,884.03 | Professional | 54 · Surgery only | $1,174.90 | $2,511.89 | $2,884.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $501.19 Typical High $575.44 | Professional | 55 · Aftercare only | $234.42 | $501.19 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $338.84 Typical High $380.19 | Professional | 56 · Pre-op care only | $158.49 | $338.84 | $380.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,096.48 Median $2,344.23 Typical High $2,691.53 | Professional | 78 · Unplanned return to OR | $1,096.48 | $2,344.23 | $2,691.53 |
Where Mississippi sits
The same service costs 11.2 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
$2,570
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.