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 $1,318.26 Typical High $3,388.44 | Facility | None | $776.25 | $1,318.26 | $3,388.44 |
Aetna Setting Professional Modifier None Typical Low $3,388.44 Median $7,244.36 Typical High $8,317.64 | Professional | None | $3,388.44 | $7,244.36 | $8,317.64 |
BCBS Mississippi Setting Professional Modifier None Typical Low $7,244.36 Median $7,244.36 Typical High $7,244.36 | Professional | None | $7,244.36 | $7,244.36 | $7,244.36 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $4,365.16 Typical High $7,079.46 | Facility | None | $660.69 | $4,365.16 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $5,370.32 Typical High $6,456.54 | Professional | None | $2,754.23 | $5,370.32 | $6,456.54 |
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 $12,022.64 | Facility | None | $1,122.02 | $2,511.89 | $12,022.64 |
United Setting Professional Modifier None Typical Low $3,090.30 Median $3,801.89 Typical High $8,511.38 | Professional | None | $3,090.30 | $3,801.89 | $8,511.38 |
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 $1,698.24 Median $3,630.78 Typical High $4,073.80 | Professional | 52 · Reduced service | $1,698.24 | $3,630.78 | $4,073.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $676.08 Median $1,445.44 Typical High $1,659.59 | Professional | 53 · Discontinued | $676.08 | $1,445.44 | $1,659.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,570.40 Median $5,495.41 Typical High $6,165.95 | Professional | 54 · Surgery only | $2,570.40 | $5,495.41 | $6,165.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $512.86 Median $1,096.48 Typical High $1,230.27 | Professional | 55 · Aftercare only | $512.86 | $1,096.48 | $1,230.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $338.84 Median $724.44 Typical High $831.76 | Professional | 56 · Pre-op care only | $338.84 | $724.44 | $831.76 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,398.83 Median $5,128.61 Typical High $5,754.40 | Professional | 78 · Unplanned return to OR | $2,398.83 | $5,128.61 | $5,754.40 |
Where Mississippi sits
The same service costs 20.4 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· 23rd of 51
$4,786
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.