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 $1,148.15 Typical High $2,818.38 | Facility | None | $758.58 | $1,148.15 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $2,511.89 Typical High $5,370.32 | Professional | None | $1,148.15 | $2,511.89 | $5,370.32 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
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 $1,000.00 Median $1,778.28 Typical High $1,949.84 | Professional | None | $1,000.00 | $1,778.28 | $1,949.84 |
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 $1,071.52 Median $1,318.26 Typical High $3,019.95 | Professional | None | $1,071.52 | $1,318.26 | $3,019.95 |
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 $575.44 Median $1,258.93 Typical High $2,630.27 | Professional | 52 · Reduced service | $575.44 | $1,258.93 | $2,630.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $512.86 Typical High $1,071.52 | Professional | 53 · Discontinued | $229.09 | $512.86 | $1,071.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $1,905.46 Typical High $3,981.07 | Professional | 54 · Surgery only | $851.14 | $1,905.46 | $3,981.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $380.19 Typical High $794.33 | Professional | 55 · Aftercare only | $173.78 | $380.19 | $794.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $251.19 Typical High $537.03 | Professional | 56 · Pre-op care only | $114.82 | $251.19 | $537.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $1,778.28 Typical High $3,715.35 | Professional | 78 · Unplanned return to OR | $794.33 | $1,778.28 | $3,715.35 |
Where Mississippi sits
The same service costs 5.6 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
$1,318
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.