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 $1,513.56 Typical High $3,981.07 | Facility | None | $776.25 | $1,513.56 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $3,981.07 Typical High $3,981.07 | Professional | None | $1,621.81 | $3,981.07 | $3,981.07 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,630.27 | $2,630.27 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $3,019.95 Typical High $5,888.44 | Facility | None | $1,737.80 | $3,019.95 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $2,041.74 Typical High $2,454.71 | Professional | None | $1,174.90 | $2,041.74 | $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 $1,122.02 Median $2,511.89 Typical High $10,232.93 | Facility | None | $1,122.02 | $2,511.89 | $10,232.93 |
United Setting Professional Modifier None Typical Low $1,479.11 Median $1,698.24 Typical High $3,890.45 | Professional | None | $1,479.11 | $1,698.24 | $3,890.45 |
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 $812.83 Median $1,995.26 Typical High $1,995.26 | Professional | 52 · Reduced service | $812.83 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $794.33 Typical High $794.33 | Professional | 53 · Discontinued | $323.59 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $3,019.95 Typical High $3,019.95 | Professional | 54 · Surgery only | $1,202.26 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $602.56 Typical High $602.56 | Professional | 55 · Aftercare only | $245.47 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $398.11 Typical High $398.11 | Professional | 56 · Pre-op care only | $162.18 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $2,818.38 Typical High $2,818.38 | Professional | 78 · Unplanned return to OR | $1,122.02 | $2,818.38 | $2,818.38 |
Where Mississippi sits
The same service costs 6.3 times more in Alaska than in Utah. 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· 22nd of 51
$2,455
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.