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 $2,818.38 | Facility | None | $758.58 | $1,318.26 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $5,623.41 Typical High $8,317.64 | Professional | None | $2,691.53 | $5,623.41 | $8,317.64 |
BCBS Mississippi Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | None | $4,786.30 | $4,786.30 | $4,786.30 |
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 $2,630.27 Median $4,365.16 Typical High $4,466.84 | Professional | None | $2,630.27 | $4,365.16 | $4,466.84 |
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 $2,454.71 Median $2,884.03 Typical High $7,079.46 | Professional | None | $2,454.71 | $2,884.03 | $7,079.46 |
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 $1,348.96 Median $2,818.38 Typical High $4,073.80 | Professional | 52 · Reduced service | $1,348.96 | $2,818.38 | $4,073.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $1,122.02 Typical High $1,659.59 | Professional | 53 · Discontinued | $537.03 | $1,122.02 | $1,659.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $4,265.80 Typical High $6,165.95 | Professional | 54 · Surgery only | $1,995.26 | $4,265.80 | $6,165.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $851.14 Typical High $1,230.27 | Professional | 55 · Aftercare only | $407.38 | $851.14 | $1,230.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $562.34 Typical High $831.76 | Professional | 56 · Pre-op care only | $269.15 | $562.34 | $831.76 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,862.09 Median $3,981.07 Typical High $5,754.40 | Professional | 78 · Unplanned return to OR | $1,862.09 | $3,981.07 | $5,754.40 |
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· 16th of 51
$4,266
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.