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 $3,890.45 | Facility | None | $758.58 | $1,318.26 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $3,890.45 Median $8,317.64 Typical High $12,022.64 | Professional | None | $3,890.45 | $8,317.64 | $12,022.64 |
BCBS Mississippi Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Professional | None | $4,677.35 | $4,677.35 | $4,677.35 |
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 $3,890.45 Median $6,025.60 Typical High $6,606.93 | Professional | None | $3,890.45 | $6,025.60 | $6,606.93 |
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 $3,548.13 Median $4,365.16 Typical High $10,232.93 | Professional | None | $3,548.13 | $4,365.16 | $10,232.93 |
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 $1,949.84 Median $4,073.80 Typical High $6,025.60 | Professional | 52 · Reduced service | $1,949.84 | $4,073.80 | $6,025.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $776.25 Median $1,659.59 Typical High $2,398.83 | Professional | 53 · Discontinued | $776.25 | $1,659.59 | $2,398.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,951.21 Median $6,165.95 Typical High $8,912.51 | Professional | 54 · Surgery only | $2,951.21 | $6,165.95 | $8,912.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $588.84 Median $1,230.27 Typical High $1,778.28 | Professional | 55 · Aftercare only | $588.84 | $1,230.27 | $1,778.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $389.05 Median $831.76 Typical High $1,202.26 | Professional | 56 · Pre-op care only | $389.05 | $831.76 | $1,202.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,754.23 Median $5,754.40 Typical High $8,317.64 | Professional | 78 · Unplanned return to OR | $2,754.23 | $5,754.40 | $8,317.64 |
Where Mississippi sits
The same service costs 21.9 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· 30th of 51
$4,677
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.