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 $891.25 Typical High $1,995.26 | Facility | None | $630.96 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $954.99 Typical High $1,380.38 | Professional | None | $446.68 | $954.99 | $1,380.38 |
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 $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
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 $467.74 Median $645.65 Typical High $758.58 | Professional | None | $467.74 | $645.65 | $758.58 |
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 $10,232.93 | Facility | None | $1,122.02 | $2,511.89 | $10,232.93 |
United Setting Professional Modifier None Typical Low $446.68 Median $512.86 Typical High $1,288.25 | Professional | None | $446.68 | $512.86 | $1,288.25 |
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 $223.87 Median $478.63 Typical High $691.83 | Professional | 52 · Reduced service | $223.87 | $478.63 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $190.55 Typical High $275.42 | Professional | 53 · Discontinued | $91.20 | $190.55 | $275.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $707.95 Typical High $1,047.13 | Professional | 54 · Surgery only | $338.84 | $707.95 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $141.25 Typical High $208.93 | Professional | 55 · Aftercare only | $67.61 | $141.25 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $95.50 Typical High $138.04 | Professional | 56 · Pre-op care only | $45.71 | $95.50 | $138.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $660.69 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $316.23 | $660.69 | $977.24 |
Where Mississippi sits
The same service costs 6.3 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· 22nd of 51
$692
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.