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 $1,318.26 Typical High $4,073.80 | Facility | None | $758.58 | $1,318.26 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $4,073.80 Median $8,511.38 Typical High $12,589.25 | Professional | None | $4,073.80 | $8,511.38 | $12,589.25 |
BCBS Mississippi Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,000.00 Typical High $1,202.26 | Facility | None | $660.69 | $1,000.00 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $4,073.80 Median $6,918.31 Typical High $7,244.36 | Professional | None | $4,073.80 | $6,918.31 | $7,244.36 |
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 $323.59 Median $691.83 Typical High $3,090.30 | Facility | None | $323.59 | $691.83 | $3,090.30 |
United Setting Professional Modifier None Typical Low $3,715.35 Median $4,466.84 Typical High $10,715.19 | Professional | None | $3,715.35 | $4,466.84 | $10,715.19 |
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 $2,041.74 Median $4,265.80 Typical High $6,309.57 | Professional | 52 · Reduced service | $2,041.74 | $4,265.80 | $6,309.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $812.83 Median $1,698.24 Typical High $2,511.89 | Professional | 53 · Discontinued | $812.83 | $1,698.24 | $2,511.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3,019.95 Median $6,456.54 Typical High $9,332.54 | Professional | 54 · Surgery only | $3,019.95 | $6,456.54 | $9,332.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $616.60 Median $1,288.25 Typical High $1,862.09 | Professional | 55 · Aftercare only | $616.60 | $1,288.25 | $1,862.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $407.38 Median $851.14 Typical High $1,258.93 | Professional | 56 · Pre-op care only | $407.38 | $851.14 | $1,258.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,818.38 Median $6,025.60 Typical High $8,709.64 | Professional | 78 · Unplanned return to OR | $2,818.38 | $6,025.60 | $8,709.64 |
Where Mississippi sits
The same service costs 21.4 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· 32nd of 51
$5,012
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.