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 $1,071.52 Typical High $2,818.38 | Facility | None | $758.58 | $1,071.52 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $2,290.87 Typical High $3,311.31 | Professional | None | $1,071.52 | $2,290.87 | $3,311.31 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
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 $1,071.52 Median $1,698.24 Typical High $1,862.09 | Professional | None | $1,071.52 | $1,698.24 | $1,862.09 |
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 $467.74 Median $707.95 Typical High $2,454.71 | Facility | None | $467.74 | $707.95 | $2,454.71 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,230.27 Typical High $2,818.38 | Professional | None | $977.24 | $1,230.27 | $2,818.38 |
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 $537.03 Median $1,122.02 Typical High $1,659.59 | Professional | 52 · Reduced service | $537.03 | $1,122.02 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $457.09 Typical High $660.69 | Professional | 53 · Discontinued | $213.80 | $457.09 | $660.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $1,698.24 Typical High $2,454.71 | Professional | 54 · Surgery only | $812.83 | $1,698.24 | $2,454.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $338.84 Typical High $501.19 | Professional | 55 · Aftercare only | $162.18 | $338.84 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $229.09 Typical High $331.13 | Professional | 56 · Pre-op care only | $107.15 | $229.09 | $331.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $1,584.89 Typical High $2,290.87 | Professional | 78 · Unplanned return to OR | $758.58 | $1,584.89 | $2,290.87 |
Where Mississippi sits
The same service costs 5.5 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· 29th of 51
$1,349
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.