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 $851.14 Typical High $2,290.87 | Facility | None | $630.96 | $851.14 | $2,290.87 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $1,737.80 Typical High $2,290.87 | Professional | None | $575.44 | $1,737.80 | $2,290.87 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $2,818.38 Typical High $5,888.44 | Facility | None | $660.69 | $2,818.38 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $954.99 Typical High $1,380.38 | Professional | None | $630.96 | $954.99 | $1,380.38 |
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 $758.58 Median $1,412.54 Typical High $7,585.78 | Facility | None | $758.58 | $1,412.54 | $7,585.78 |
United Setting Professional Modifier None Typical Low $602.56 Median $851.14 Typical High $1,905.46 | Professional | None | $602.56 | $851.14 | $1,905.46 |
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 $281.84 Median $870.96 Typical High $1,148.15 | Professional | 52 · Reduced service | $281.84 | $870.96 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $346.74 Typical High $457.09 | Professional | 53 · Discontinued | $114.82 | $346.74 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $1,318.26 Typical High $1,737.80 | Professional | 54 · Surgery only | $426.58 | $1,318.26 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $263.03 Typical High $346.74 | Professional | 55 · Aftercare only | $85.11 | $263.03 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $173.78 Typical High $229.09 | Professional | 56 · Pre-op care only | $57.54 | $173.78 | $229.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $1,230.27 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $398.11 | $1,230.27 | $1,621.81 |
Where Mississippi sits
The same service costs 5.2 times more in Alaska than in Utah. 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· 29th of 51
$1,023
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.