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 $331.13 Median $1,548.82 Typical High $6,025.60 | Professional | None | $331.13 | $1,548.82 | $6,025.60 |
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 $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
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 $302.00 Median $776.25 Typical High $2,187.76 | Professional | None | $302.00 | $776.25 | $2,187.76 |
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 $302.00 Median $1,071.52 Typical High $2,630.27 | Professional | None | $302.00 | $1,071.52 | $2,630.27 |
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 $165.96 Median $776.25 Typical High $3,019.95 | Professional | 52 · Reduced service | $165.96 | $776.25 | $3,019.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $309.03 Typical High $1,202.26 | Professional | 53 · Discontinued | $66.07 | $309.03 | $1,202.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $1,148.15 Typical High $4,570.88 | Professional | 54 · Surgery only | $251.19 | $1,148.15 | $4,570.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $229.09 Typical High $912.01 | Professional | 55 · Aftercare only | $50.12 | $229.09 | $912.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $154.88 Typical High $602.56 | Professional | 56 · Pre-op care only | $33.11 | $154.88 | $602.56 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $1,071.52 Typical High $4,265.80 | Professional | 78 · Unplanned return to OR | $234.42 | $1,071.52 | $4,265.80 |
Where Mississippi sits
The same service costs 5.8 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· 37th 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.