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 $630.96 Median $1,000.00 Typical High $2,570.40 | Facility | None | $630.96 | $1,000.00 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $1,778.28 Typical High $5,128.61 | Professional | None | $380.19 | $1,778.28 | $5,128.61 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
BCBS Mississippi Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
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 $346.74 Median $870.96 Typical High $1,949.84 | Professional | None | $346.74 | $870.96 | $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 $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 $354.81 Median $1,174.90 Typical High $2,570.40 | Professional | None | $354.81 | $1,174.90 | $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 $190.55 Median $891.25 Typical High $2,570.40 | Professional | 52 · Reduced service | $190.55 | $891.25 | $2,570.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $354.81 Typical High $1,047.13 | Professional | 53 · Discontinued | $77.62 | $354.81 | $1,047.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $1,348.96 Typical High $3,890.45 | Professional | 54 · Surgery only | $288.40 | $1,348.96 | $3,890.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $269.15 Typical High $776.25 | Professional | 55 · Aftercare only | $57.54 | $269.15 | $776.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $177.83 Typical High $512.86 | Professional | 56 · Pre-op care only | $38.02 | $177.83 | $512.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $1,258.93 Typical High $3,630.78 | Professional | 78 · Unplanned return to OR | $269.15 | $1,258.93 | $3,630.78 |
Where Mississippi sits
The same service costs 4.4 times more in Alaska than in Nebraska. 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· 44th of 51
$1,202
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.