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 $758.58 Median $1,023.29 Typical High $2,511.89 | Facility | None | $758.58 | $1,023.29 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $2,511.89 Typical High $2,511.89 | Professional | None | $1,023.29 | $2,511.89 | $2,511.89 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,000.00 Typical High $1,202.26 | Facility | None | $660.69 | $1,000.00 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $1,548.82 Typical High $1,737.80 | Professional | None | $707.95 | $1,548.82 | $1,737.80 |
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 $323.59 Median $691.83 Typical High $3,090.30 | Facility | None | $323.59 | $691.83 | $3,090.30 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,096.48 Typical High $2,570.40 | Professional | None | $891.25 | $1,096.48 | $2,570.40 |
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 $512.86 Median $1,258.93 Typical High $1,258.93 | Professional | 52 · Reduced service | $512.86 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $501.19 Typical High $501.19 | Professional | 53 · Discontinued | $204.17 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $1,862.09 Typical High $1,862.09 | Professional | 54 · Surgery only | $758.58 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $371.54 Typical High $371.54 | Professional | 55 · Aftercare only | $151.36 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $251.19 Typical High $251.19 | Professional | 56 · Pre-op care only | $102.33 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $1,737.80 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $707.95 | $1,737.80 | $1,737.80 |
Where Mississippi sits
The same service costs 6.8 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· 31st of 51
$1,288
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.