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 $1,202.26 Typical High $2,818.38 | Facility | None | $758.58 | $1,202.26 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $2,511.89 Typical High $3,630.78 | Professional | None | $1,202.26 | $2,511.89 | $3,630.78 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
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 $1,174.90 Median $1,905.46 Typical High $2,041.74 | Professional | None | $1,174.90 | $1,905.46 | $2,041.74 |
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 $1,096.48 Median $1,348.96 Typical High $3,090.30 | Professional | None | $1,096.48 | $1,348.96 | $3,090.30 |
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 $588.84 Median $1,258.93 Typical High $1,819.70 | Professional | 52 · Reduced service | $588.84 | $1,258.93 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $501.19 Typical High $724.44 | Professional | 53 · Discontinued | $239.88 | $501.19 | $724.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $1,862.09 Typical High $2,754.23 | Professional | 54 · Surgery only | $891.25 | $1,862.09 | $2,754.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $380.19 Typical High $549.54 | Professional | 55 · Aftercare only | $177.83 | $380.19 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $251.19 Typical High $363.08 | Professional | 56 · Pre-op care only | $120.23 | $251.19 | $363.08 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $1,737.80 Typical High $2,570.40 | Professional | 78 · Unplanned return to OR | $831.76 | $1,737.80 | $2,570.40 |
Where Mississippi sits
The same service costs 26.3 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· 16th of 51
$1,950
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.