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 $1,318.26 Median $2,951.21 Typical High $6,165.95 | Professional | None | $1,318.26 | $2,951.21 | $6,165.95 |
BCBS Mississippi Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
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 $954.99 Median $2,089.30 Typical High $2,290.87 | Professional | None | $954.99 | $2,089.30 | $2,290.87 |
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 $1,258.93 Median $1,513.56 Typical High $3,548.13 | Professional | None | $1,258.93 | $1,513.56 | $3,548.13 |
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 $660.69 Median $1,479.11 Typical High $3,090.30 | Professional | 52 · Reduced service | $660.69 | $1,479.11 | $3,090.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $588.84 Typical High $1,230.27 | Professional | 53 · Discontinued | $263.03 | $588.84 | $1,230.27 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $2,187.76 Typical High $4,570.88 | Professional | 54 · Surgery only | $1,000.00 | $2,187.76 | $4,570.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $436.52 Typical High $912.01 | Professional | 55 · Aftercare only | $199.53 | $436.52 | $912.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $295.12 Typical High $616.60 | Professional | 56 · Pre-op care only | $131.83 | $295.12 | $616.60 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $2,041.74 Typical High $4,265.80 | Professional | 78 · Unplanned return to OR | $933.25 | $2,041.74 | $4,265.80 |
Where Mississippi sits
The same service costs 5.9 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
$1,514
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.