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 $1,318.26 Typical High $2,818.38 | Facility | None | $758.58 | $1,318.26 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $3,630.78 Typical High $7,585.78 | Professional | None | $1,621.81 | $3,630.78 | $7,585.78 |
BCBS Mississippi Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | None | $3,090.30 | $3,090.30 | $3,090.30 |
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 $1,148.15 Median $2,511.89 Typical High $2,754.23 | Professional | None | $1,148.15 | $2,511.89 | $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 $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 $1,513.56 Median $1,778.28 Typical High $4,265.80 | Professional | None | $1,513.56 | $1,778.28 | $4,265.80 |
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 $1,778.28 Typical High $3,715.35 | Professional | 52 · Reduced service | $812.83 | $1,778.28 | $3,715.35 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $724.44 Typical High $1,513.56 | Professional | 53 · Discontinued | $323.59 | $724.44 | $1,513.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $2,691.53 Typical High $5,623.41 | Professional | 54 · Surgery only | $1,202.26 | $2,691.53 | $5,623.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $537.03 Typical High $1,122.02 | Professional | 55 · Aftercare only | $245.47 | $537.03 | $1,122.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $363.08 Typical High $758.58 | Professional | 56 · Pre-op care only | $162.18 | $363.08 | $758.58 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $2,511.89 Typical High $5,248.07 | Professional | 78 · Unplanned return to OR | $1,122.02 | $2,511.89 | $5,248.07 |
Where Mississippi sits
The same service costs 5.5 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· 40th of 51
$1,778
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.