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 $1,412.54 Median $3,019.95 Typical High $3,467.37 | Professional | None | $1,412.54 | $3,019.95 | $3,467.37 |
BCBS Mississippi Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None | $3,019.95 | $3,019.95 | $3,019.95 |
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 $1,148.15 Median $2,454.71 Typical High $2,754.23 | Professional | None | $1,148.15 | $2,454.71 | $2,754.23 |
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 $1,380.38 Median $3,311.31 Typical High $13,182.57 | Facility | None | $1,380.38 | $3,311.31 | $13,182.57 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $3,715.35 | Professional | None | $1,288.25 | $1,621.81 | $3,715.35 |
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 $707.95 Median $1,513.56 Typical High $1,737.80 | Professional | 52 · Reduced service | $707.95 | $1,513.56 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $602.56 Typical High $691.83 | Professional | 53 · Discontinued | $281.84 | $602.56 | $691.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,071.52 Median $2,290.87 Typical High $2,570.40 | Professional | 54 · Surgery only | $1,071.52 | $2,290.87 | $2,570.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $457.09 Typical High $512.86 | Professional | 55 · Aftercare only | $213.80 | $457.09 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $302.00 Typical High $346.74 | Professional | 56 · Pre-op care only | $141.25 | $302.00 | $346.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,000.00 Median $2,137.96 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $1,000.00 | $2,137.96 | $2,398.83 |
Where Mississippi sits
The same service costs 8.9 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· 12th of 51
$2,630
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.