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 $2,884.03 Typical High $6,025.60 | Professional | None | $1,318.26 | $2,884.03 | $6,025.60 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
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 $933.25 Median $2,137.96 Typical High $2,344.23 | Professional | None | $933.25 | $2,137.96 | $2,344.23 |
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 $1,230.27 Median $1,513.56 Typical High $3,467.37 | Professional | None | $1,230.27 | $1,513.56 | $3,467.37 |
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 $1,445.44 Typical High $3,019.95 | Professional | 52 · Reduced service | $660.69 | $1,445.44 | $3,019.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $575.44 Typical High $1,202.26 | Professional | 53 · Discontinued | $263.03 | $575.44 | $1,202.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $2,187.76 Typical High $4,570.88 | Professional | 54 · Surgery only | $977.24 | $2,187.76 | $4,570.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $436.52 Typical High $912.01 | Professional | 55 · Aftercare only | $194.98 | $436.52 | $912.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $288.40 Typical High $602.56 | Professional | 56 · Pre-op care only | $131.83 | $288.40 | $602.56 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $2,041.74 Typical High $4,265.80 | Professional | 78 · Unplanned return to OR | $912.01 | $2,041.74 | $4,265.80 |
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· 38th 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.