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 $1,258.93 Typical High $2,818.38 | Facility | None | $758.58 | $1,258.93 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $2,754.23 Typical High $5,754.40 | Professional | None | $1,258.93 | $2,754.23 | $5,754.40 |
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 $891.25 Median $1,949.84 Typical High $2,137.96 | Professional | None | $891.25 | $1,949.84 | $2,137.96 |
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 $1,174.90 Median $1,380.38 Typical High $3,311.31 | Professional | None | $1,174.90 | $1,380.38 | $3,311.31 |
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 $630.96 Median $1,380.38 Typical High $2,884.03 | Professional | 52 · Reduced service | $630.96 | $1,380.38 | $2,884.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $549.54 Typical High $1,174.90 | Professional | 53 · Discontinued | $251.19 | $549.54 | $1,174.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $2,089.30 Typical High $4,365.16 | Professional | 54 · Surgery only | $933.25 | $2,089.30 | $4,365.16 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $416.87 Typical High $870.96 | Professional | 55 · Aftercare only | $186.21 | $416.87 | $870.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $275.42 Typical High $575.44 | Professional | 56 · Pre-op care only | $125.89 | $275.42 | $575.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $1,949.84 Typical High $4,073.80 | Professional | 78 · Unplanned return to OR | $870.96 | $1,949.84 | $4,073.80 |
Where Mississippi sits
The same service costs 4.8 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· 43rd of 51
$1,413
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.