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 $1,000.00 Typical High $2,041.74 | Facility | None | $758.58 | $1,000.00 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $1,778.28 Typical High $2,041.74 | Professional | None | $831.76 | $1,778.28 | $2,041.74 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,659.59 | $1,659.59 | $1,659.59 |
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 $676.08 Median $1,288.25 Typical High $1,584.89 | Professional | None | $676.08 | $1,288.25 | $1,584.89 |
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 $16,218.10 | Facility | None | $1,380.38 | $3,311.31 | $16,218.10 |
United Setting Professional Modifier None Typical Low $741.31 Median $870.96 Typical High $1,862.09 | Professional | None | $741.31 | $870.96 | $1,862.09 |
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 $416.87 Median $891.25 Typical High $1,023.29 | Professional | 52 · Reduced service | $416.87 | $891.25 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $363.08 Typical High $407.38 | Professional | 53 · Discontinued | $169.82 | $363.08 | $407.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $1,348.96 Typical High $1,513.56 | Professional | 54 · Surgery only | $630.96 | $1,348.96 | $1,513.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $269.15 Typical High $302.00 | Professional | 55 · Aftercare only | $125.89 | $269.15 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $177.83 Typical High $204.17 | Professional | 56 · Pre-op care only | $83.18 | $177.83 | $204.17 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $1,258.93 Typical High $1,412.54 | Professional | 78 · Unplanned return to OR | $588.84 | $1,258.93 | $1,412.54 |
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· 13th of 51
$1,514
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.