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 $3,467.37 | Facility | None | $758.58 | $1,318.26 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $3,467.37 Median $7,762.47 Typical High $16,218.10 | Professional | None | $3,467.37 | $7,762.47 | $16,218.10 |
BCBS Mississippi Setting Professional Modifier None Typical Low $7,585.78 Median $7,585.78 Typical High $7,585.78 | Professional | None | $7,585.78 | $7,585.78 | $7,585.78 |
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 $2,454.71 Median $5,754.40 Typical High $6,165.95 | Professional | None | $2,454.71 | $5,754.40 | $6,165.95 |
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 $3,311.31 Median $3,890.45 Typical High $9,332.54 | Professional | None | $3,311.31 | $3,890.45 | $9,332.54 |
4 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 $1,737.80 Median $3,801.89 Typical High $7,943.28 | Professional | 52 · Reduced service | $1,737.80 | $3,801.89 | $7,943.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $691.83 Median $1,548.82 Typical High $3,235.94 | Professional | 53 · Discontinued | $691.83 | $1,548.82 | $3,235.94 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,570.40 Median $5,754.40 Typical High $12,022.64 | Professional | 54 · Surgery only | $2,570.40 | $5,754.40 | $12,022.64 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,398.83 Median $5,370.32 Typical High $11,220.18 | Professional | 78 · Unplanned return to OR | $2,398.83 | $5,370.32 | $11,220.18 |
Where Mississippi sits
The same service costs 7.6 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
$3,548
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.