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 $2,290.87 Median $4,786.30 Typical High $7,079.46 | Professional | None | $2,290.87 | $4,786.30 | $7,079.46 |
BCBS Mississippi Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,630.78 | $3,630.78 | $3,630.78 |
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 $2,290.87 Median $3,801.89 Typical High $3,981.07 | Professional | None | $2,290.87 | $3,801.89 | $3,981.07 |
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 $2,089.30 Median $2,570.40 Typical High $6,025.60 | Professional | None | $2,089.30 | $2,570.40 | $6,025.60 |
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 $1,148.15 Median $2,398.83 Typical High $3,467.37 | Professional | 52 · Reduced service | $1,148.15 | $2,398.83 | $3,467.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $954.99 Typical High $1,412.54 | Professional | 53 · Discontinued | $457.09 | $954.99 | $1,412.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,698.24 Median $3,630.78 Typical High $5,248.07 | Professional | 54 · Surgery only | $1,698.24 | $3,630.78 | $5,248.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $724.44 Typical High $1,047.13 | Professional | 55 · Aftercare only | $346.74 | $724.44 | $1,047.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $229.09 Median $478.63 Typical High $707.95 | Professional | 56 · Pre-op care only | $229.09 | $478.63 | $707.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $3,388.44 Typical High $4,897.79 | Professional | 78 · Unplanned return to OR | $1,584.89 | $3,388.44 | $4,897.79 |
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
$3,631
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.