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 $954.99 Typical High $2,344.23 | Facility | None | $707.95 | $954.99 | $2,344.23 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $2,041.74 Typical High $2,344.23 | Professional | None | $933.25 | $2,041.74 | $2,344.23 |
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 $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $2,238.72 Typical High $3,548.13 | Facility | None | $660.69 | $2,238.72 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $1,621.81 Typical High $1,778.28 | Professional | None | $776.25 | $1,621.81 | $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 $467.74 Median $758.58 Typical High $5,370.32 | Facility | None | $467.74 | $758.58 | $5,370.32 |
United Setting Professional Modifier None Typical Low $660.69 Median $1,023.29 Typical High $2,398.83 | Professional | None | $660.69 | $1,023.29 | $2,398.83 |
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 $478.63 Median $1,023.29 Typical High $1,174.90 | Professional | 52 · Reduced service | $478.63 | $1,023.29 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $407.38 Typical High $467.74 | Professional | 53 · Discontinued | $190.55 | $407.38 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $1,548.82 Typical High $1,737.80 | Professional | 54 · Surgery only | $724.44 | $1,548.82 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $309.03 Typical High $346.74 | Professional | 55 · Aftercare only | $144.54 | $309.03 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $204.17 Typical High $234.42 | Professional | 56 · Pre-op care only | $95.50 | $204.17 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $1,445.44 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $676.08 | $1,445.44 | $1,621.81 |
Where Mississippi sits
The same service costs 7.8 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· 33rd of 51
$1,148
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.