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 $1,000.00 Typical High $2,818.38 | Facility | None | $758.58 | $1,000.00 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $2,137.96 Typical High $4,466.84 | Professional | None | $954.99 | $2,137.96 | $4,466.84 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,548.82 Typical High $3,162.28 | Facility | None | $660.69 | $1,548.82 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $1,584.89 Typical High $1,778.28 | Professional | None | $676.08 | $1,584.89 | $1,778.28 |
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 $977.24 Median $1,737.80 Typical High $6,456.54 | Facility | None | $977.24 | $1,737.80 | $6,456.54 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,148.15 Typical High $2,570.40 | Professional | None | $912.01 | $1,148.15 | $2,570.40 |
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 $478.63 Median $1,071.52 Typical High $2,238.72 | Professional | 52 · Reduced service | $478.63 | $1,071.52 | $2,238.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $426.58 Typical High $891.25 | Professional | 53 · Discontinued | $190.55 | $426.58 | $891.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $1,584.89 Typical High $3,311.31 | Professional | 54 · Surgery only | $724.44 | $1,584.89 | $3,311.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $316.23 Typical High $676.08 | Professional | 55 · Aftercare only | $144.54 | $316.23 | $676.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $213.80 Typical High $446.68 | Professional | 56 · Pre-op care only | $95.50 | $213.80 | $446.68 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $1,479.11 Typical High $3,090.30 | Professional | 78 · Unplanned return to OR | $676.08 | $1,479.11 | $3,090.30 |
Where Mississippi sits
The same service costs 4.6 times more in Wisconsin 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· 19th of 51
$1,660
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.