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 $1,174.90 Typical High $2,884.03 | Facility | None | $776.25 | $1,174.90 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $2,754.23 Typical High $3,090.30 | Professional | None | $1,258.93 | $2,754.23 | $3,090.30 |
BCBS Mississippi Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $933.25 Typical High $1,698.24 | Facility | None | $812.83 | $933.25 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $2,187.76 Typical High $2,398.83 | Professional | None | $1,047.13 | $2,187.76 | $2,398.83 |
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 $3,090.30 | Facility | None | $467.74 | $758.58 | $3,090.30 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,318.26 Typical High $3,235.94 | Professional | None | $1,258.93 | $1,318.26 | $3,235.94 |
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 $630.96 Median $1,348.96 Typical High $1,548.82 | Professional | 52 · Reduced service | $630.96 | $1,348.96 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $549.54 Typical High $616.60 | Professional | 53 · Discontinued | $257.04 | $549.54 | $616.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $2,041.74 Typical High $2,290.87 | Professional | 54 · Surgery only | $954.99 | $2,041.74 | $2,290.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $407.38 Typical High $457.09 | Professional | 55 · Aftercare only | $190.55 | $407.38 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $275.42 Typical High $309.03 | Professional | 56 · Pre-op care only | $125.89 | $275.42 | $309.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $1,905.46 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $891.25 | $1,905.46 | $2,137.96 |
Where Mississippi sits
The same service costs 17.0 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· 28th of 51
$1,698
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.