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 $851.14 Median $1,862.09 Typical High $2,089.30 | Professional | None | $851.14 | $1,862.09 | $2,089.30 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
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 $794.33 Median $1,584.89 Typical High $3,090.30 | Facility | None | $794.33 | $1,584.89 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $1,479.11 Typical High $1,659.59 | Professional | None | $707.95 | $1,479.11 | $1,659.59 |
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 $7,244.36 | Facility | None | $1,122.02 | $2,511.89 | $7,244.36 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,000.00 Typical High $2,454.71 | Professional | None | $831.76 | $1,000.00 | $2,454.71 |
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 $426.58 Median $912.01 Typical High $1,047.13 | Professional | 52 · Reduced service | $426.58 | $912.01 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $371.54 Typical High $416.87 | Professional | 53 · Discontinued | $173.78 | $371.54 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $1,380.38 Typical High $1,548.82 | Professional | 54 · Surgery only | $645.65 | $1,380.38 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $275.42 Typical High $309.03 | Professional | 55 · Aftercare only | $128.82 | $275.42 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $186.21 Typical High $208.93 | Professional | 56 · Pre-op care only | $85.11 | $186.21 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $1,288.25 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $602.56 | $1,288.25 | $1,445.44 |
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· 22nd of 51
$1,479
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.