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 $758.58 Median $1,047.13 Typical High $1,995.26 | Facility | None | $758.58 | $1,047.13 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $1,584.89 Typical High $2,290.87 | Professional | None | $758.58 | $1,584.89 | $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 $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $2,884.03 Typical High $4,570.88 | Facility | None | $794.33 | $2,884.03 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $1,148.15 Typical High $1,288.25 | Professional | None | $776.25 | $1,148.15 | $1,288.25 |
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 $741.31 Median $851.14 Typical High $2,187.76 | Professional | None | $741.31 | $851.14 | $2,187.76 |
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 $380.19 Median $794.33 Typical High $1,148.15 | Professional | 52 · Reduced service | $380.19 | $794.33 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $316.23 Typical High $457.09 | Professional | 53 · Discontinued | $151.36 | $316.23 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $1,174.90 Typical High $1,737.80 | Professional | 54 · Surgery only | $562.34 | $1,174.90 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $239.88 Typical High $346.74 | Professional | 55 · Aftercare only | $112.20 | $239.88 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $158.49 Typical High $229.09 | Professional | 56 · Pre-op care only | $75.86 | $158.49 | $229.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $1,096.48 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $524.81 | $1,096.48 | $1,621.81 |
Where Mississippi sits
The same service costs 6.5 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
$1,148
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.