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 $2,691.53 Typical High $3,019.95 | Professional | None | $1,258.93 | $2,691.53 | $3,019.95 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,511.89 | $2,511.89 | $2,511.89 |
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 $1,023.29 Median $2,137.96 Typical High $2,454.71 | Professional | None | $1,023.29 | $2,137.96 | $2,454.71 |
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 $1,258.93 Median $1,412.54 Typical High $3,311.31 | Professional | None | $1,258.93 | $1,412.54 | $3,311.31 |
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 $1,513.56 | Professional | 52 · Reduced service | $630.96 | $1,348.96 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $537.03 Typical High $602.56 | Professional | 53 · Discontinued | $251.19 | $537.03 | $602.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $2,041.74 Typical High $2,290.87 | Professional | 54 · Surgery only | $933.25 | $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 $269.15 Typical High $302.00 | Professional | 56 · Pre-op care only | $125.89 | $269.15 | $302.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $1,905.46 Typical High $2,137.96 | Professional | 78 · Unplanned return to OR | $870.96 | $1,905.46 | $2,137.96 |
Where Mississippi sits
The same service costs 18.6 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
$2,291
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.