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 $616.60 Median $1,000.00 Typical High $1,995.26 | Facility | None | $616.60 | $1,000.00 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $1,318.26 Typical High $1,905.46 | Professional | None | $616.60 | $1,318.26 | $1,905.46 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
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 $602.56 Median $933.25 Typical High $1,023.29 | Professional | None | $602.56 | $933.25 | $1,023.29 |
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 $562.34 Median $676.08 Typical High $1,584.89 | Professional | None | $562.34 | $676.08 | $1,584.89 |
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 $309.03 Median $645.65 Typical High $954.99 | Professional | 52 · Reduced service | $309.03 | $645.65 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $263.03 Typical High $380.19 | Professional | 53 · Discontinued | $123.03 | $263.03 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $977.24 Typical High $1,412.54 | Professional | 54 · Surgery only | $467.74 | $977.24 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $194.98 Typical High $281.84 | Professional | 55 · Aftercare only | $93.33 | $194.98 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $131.83 Typical High $190.55 | Professional | 56 · Pre-op care only | $61.66 | $131.83 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $912.01 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $436.52 | $912.01 | $1,318.26 |
Where Mississippi sits
The same service costs 5.4 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· 17th of 51
$933
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.