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 $2,137.96 Median $4,466.84 Typical High $6,456.54 | Professional | None | $2,137.96 | $4,466.84 | $6,456.54 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
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 $2,089.30 Median $3,162.28 Typical High $3,630.78 | Professional | None | $2,089.30 | $3,162.28 | $3,630.78 |
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 $1,905.46 Median $2,344.23 Typical High $5,370.32 | Professional | None | $1,905.46 | $2,344.23 | $5,370.32 |
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 $1,047.13 Median $2,238.72 Typical High $3,235.94 | Professional | 52 · Reduced service | $1,047.13 | $2,238.72 | $3,235.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $891.25 Typical High $1,288.25 | Professional | 53 · Discontinued | $426.58 | $891.25 | $1,288.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,584.89 Median $3,311.31 Typical High $4,897.79 | Professional | 54 · Surgery only | $1,584.89 | $3,311.31 | $4,897.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $316.23 Median $676.08 Typical High $977.24 | Professional | 55 · Aftercare only | $316.23 | $676.08 | $977.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $446.68 Typical High $645.65 | Professional | 56 · Pre-op care only | $213.80 | $446.68 | $645.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $3,090.30 Typical High $4,570.88 | Professional | 78 · Unplanned return to OR | $1,479.11 | $3,090.30 | $4,570.88 |
Where Mississippi sits
The same service costs 20.9 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
$2,884
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.