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 $977.24 Median $2,089.30 Typical High $2,398.83 | Professional | None | $977.24 | $2,089.30 | $2,398.83 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
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 $794.33 Median $1,737.80 Typical High $2,187.76 | Professional | None | $794.33 | $1,737.80 | $2,187.76 |
Molina Setting Professional Modifier None Typical Low $21.38 Median $42.66 Typical High $512.86 | Professional | None | $21.38 | $42.66 | $512.86 |
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 $954.99 Median $1,122.02 Typical High $2,818.38 | Professional | None | $954.99 | $1,122.02 | $2,818.38 |
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 $489.78 Median $1,047.13 Typical High $1,202.26 | Professional | 52 · Reduced service | $489.78 | $1,047.13 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $416.87 Typical High $478.63 | Professional | 53 · Discontinued | $194.98 | $416.87 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $1,584.89 Typical High $1,778.28 | Professional | 54 · Surgery only | $741.31 | $1,584.89 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $316.23 Typical High $354.81 | Professional | 55 · Aftercare only | $147.91 | $316.23 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $208.93 Typical High $239.88 | Professional | 56 · Pre-op care only | $97.72 | $208.93 | $239.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $1,479.11 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $691.83 | $1,479.11 | $1,659.59 |
Where Mississippi sits
The same service costs 46.8 times more in Alaska than in Hawaii. 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
$1,778
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.