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 $776.25 Median $1,096.48 Typical High $2,818.38 | Facility | None | $776.25 | $1,096.48 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $1,862.09 Typical High $2,754.23 | Professional | None | $891.25 | $1,862.09 | $2,754.23 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,412.54 Typical High $2,884.03 | Facility | None | $891.25 | $1,412.54 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,202.26 Typical High $1,513.56 | Professional | None | $912.01 | $1,202.26 | $1,513.56 |
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 $1,122.02 Median $2,511.89 Typical High $7,244.36 | Facility | None | $1,122.02 | $2,511.89 | $7,244.36 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,023.29 Typical High $2,344.23 | Professional | None | $851.14 | $1,023.29 | $2,344.23 |
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 $446.68 Median $933.25 Typical High $1,348.96 | Professional | 52 · Reduced service | $446.68 | $933.25 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $371.54 Typical High $549.54 | Professional | 53 · Discontinued | $177.83 | $371.54 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $1,412.54 Typical High $2,041.74 | Professional | 54 · Surgery only | $660.69 | $1,412.54 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $281.84 Typical High $407.38 | Professional | 55 · Aftercare only | $131.83 | $281.84 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $186.21 Typical High $275.42 | Professional | 56 · Pre-op care only | $89.13 | $186.21 | $275.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $1,318.26 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $616.60 | $1,318.26 | $1,905.46 |
Where Mississippi sits
The same service costs 6.2 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· 27th 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.