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 $1,288.25 Typical High $2,818.38 | Facility | None | $758.58 | $1,288.25 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $2,818.38 Typical High $5,888.44 | Professional | None | $1,288.25 | $2,818.38 | $5,888.44 |
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 $912.01 Median $1,995.26 Typical High $2,187.76 | Professional | None | $912.01 | $1,995.26 | $2,187.76 |
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 $1,202.26 Median $1,479.11 Typical High $3,388.44 | Professional | None | $1,202.26 | $1,479.11 | $3,388.44 |
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 $645.65 Median $1,412.54 Typical High $2,951.21 | Professional | 52 · Reduced service | $645.65 | $1,412.54 | $2,951.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $562.34 Typical High $1,174.90 | Professional | 53 · Discontinued | $257.04 | $562.34 | $1,174.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $2,137.96 Typical High $4,466.84 | Professional | 54 · Surgery only | $954.99 | $2,137.96 | $4,466.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $426.58 Typical High $891.25 | Professional | 55 · Aftercare only | $190.55 | $426.58 | $891.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $281.84 Typical High $588.84 | Professional | 56 · Pre-op care only | $128.82 | $281.84 | $588.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $1,995.26 Typical High $4,168.69 | Professional | 78 · Unplanned return to OR | $891.25 | $1,995.26 | $4,168.69 |
Where Mississippi sits
The same service costs 5.1 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
$1,479
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.