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 $758.58 Median $1,047.13 Typical High $1,995.26 | Facility | None | $758.58 | $1,047.13 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $1,621.81 Typical High $1,819.70 | Professional | None | $758.58 | $1,621.81 | $1,819.70 |
BCBS Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
BCBS Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $3,467.37 Typical High $6,606.93 | Facility | None | $794.33 | $3,467.37 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $1,288.25 Typical High $1,445.44 | Professional | None | $616.60 | $1,288.25 | $1,445.44 |
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 $12,022.64 | Facility | None | $1,122.02 | $2,511.89 | $12,022.64 |
United Setting Professional Modifier None Typical Low $758.58 Median $851.14 Typical High $1,949.84 | Professional | None | $758.58 | $851.14 | $1,949.84 |
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 $380.19 Median $812.83 Typical High $912.01 | Professional | 52 · Reduced service | $380.19 | $812.83 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $323.59 Typical High $363.08 | Professional | 53 · Discontinued | $151.36 | $323.59 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $1,202.26 Typical High $1,380.38 | Professional | 54 · Surgery only | $562.34 | $1,202.26 | $1,380.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $239.88 Typical High $275.42 | Professional | 55 · Aftercare only | $112.20 | $239.88 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $162.18 Typical High $181.97 | Professional | 56 · Pre-op care only | $75.86 | $162.18 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $1,122.02 Typical High $1,288.25 | Professional | 78 · Unplanned return to OR | $524.81 | $1,122.02 | $1,288.25 |
Where Mississippi sits
The same service costs 7.6 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
$1,349
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.