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 $3,388.44 | Facility | None | $758.58 | $1,318.26 | $3,388.44 |
Aetna Setting Professional Modifier None Typical Low $3,388.44 Median $7,413.10 Typical High $15,488.17 | Professional | None | $3,388.44 | $7,413.10 | $15,488.17 |
BCBS Mississippi Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Professional | None | $5,248.07 | $5,248.07 | $5,248.07 |
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 $2,398.83 Median $5,370.32 Typical High $5,888.44 | Professional | None | $2,398.83 | $5,370.32 | $5,888.44 |
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 $3,235.94 Median $3,801.89 Typical High $9,120.11 | Professional | None | $3,235.94 | $3,801.89 | $9,120.11 |
5 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 $1,698.24 Median $3,715.35 Typical High $7,762.47 | Professional | 52 · Reduced service | $1,698.24 | $3,715.35 | $7,762.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $676.08 Median $1,513.56 Typical High $3,162.28 | Professional | 53 · Discontinued | $676.08 | $1,513.56 | $3,162.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,511.89 Median $5,623.41 Typical High $11,748.98 | Professional | 54 · Surgery only | $2,511.89 | $5,623.41 | $11,748.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $501.19 Median $1,122.02 Typical High $2,344.23 | Professional | 55 · Aftercare only | $501.19 | $1,122.02 | $2,344.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $338.84 Median $741.31 Typical High $1,548.82 | Professional | 56 · Pre-op care only | $338.84 | $741.31 | $1,548.82 |
Where Mississippi sits
The same service costs 7.4 times more in Alaska than in Arkansas. 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· 43rd of 51
$3,388
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.