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 $3,801.89 | Facility | None | $776.25 | $1,318.26 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $3,801.89 Typical High $4,265.80 | Professional | None | $1,737.80 | $3,801.89 | $4,265.80 |
BCBS Mississippi Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | None | $3,388.44 | $3,388.44 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $8,912.51 Typical High $14,125.38 | Facility | None | $660.69 | $8,912.51 | $14,125.38 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $2,951.21 Typical High $3,311.31 | Professional | None | $1,479.11 | $2,951.21 | $3,311.31 |
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 $1,584.89 Median $6,456.54 Typical High $17,782.79 | Facility | None | $1,584.89 | $6,456.54 | $17,782.79 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $1,995.26 Typical High $4,466.84 | Professional | None | $1,737.80 | $1,995.26 | $4,466.84 |
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 $870.96 Median $1,862.09 Typical High $2,137.96 | Professional | 52 · Reduced service | $870.96 | $1,862.09 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $758.58 Typical High $851.14 | Professional | 53 · Discontinued | $354.81 | $758.58 | $851.14 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $2,818.38 Typical High $3,162.28 | Professional | 54 · Surgery only | $1,318.26 | $2,818.38 | $3,162.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $562.34 Typical High $645.65 | Professional | 55 · Aftercare only | $263.03 | $562.34 | $645.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $380.19 Typical High $426.58 | Professional | 56 · Pre-op care only | $177.83 | $380.19 | $426.58 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,230.27 Median $2,630.27 Typical High $2,951.21 | Professional | 78 · Unplanned return to OR | $1,230.27 | $2,630.27 | $2,951.21 |
Where Mississippi sits
The same service costs 16.2 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· 15th of 51
$3,162
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.