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 $707.95 Median $912.01 Typical High $2,187.76 | Facility | None | $707.95 | $912.01 | $2,187.76 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,949.84 Typical High $2,187.76 | Professional | None | $912.01 | $1,949.84 | $2,187.76 |
BCBS Mississippi 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 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 $3,467.37 Typical High $5,495.41 | Facility | None | $660.69 | $3,467.37 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $1,659.59 Typical High $1,778.28 | Professional | None | $741.31 | $1,659.59 | $1,778.28 |
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 $977.24 Median $1,737.80 Typical High $9,549.93 | Facility | None | $977.24 | $1,737.80 | $9,549.93 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,071.52 Typical High $2,570.40 | Professional | None | $912.01 | $1,071.52 | $2,570.40 |
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 $457.09 Median $977.24 Typical High $1,096.48 | Professional | 52 · Reduced service | $457.09 | $977.24 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $389.05 Typical High $446.68 | Professional | 53 · Discontinued | $181.97 | $389.05 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $1,479.11 Typical High $1,659.59 | Professional | 54 · Surgery only | $691.83 | $1,479.11 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $295.12 Typical High $331.13 | Professional | 55 · Aftercare only | $138.04 | $295.12 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $194.98 Typical High $218.78 | Professional | 56 · Pre-op care only | $91.20 | $194.98 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $1,380.38 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $645.65 | $1,380.38 | $1,548.82 |
Where Mississippi sits
The same service costs 8.3 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· 18th of 51
$1,660
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.