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 $3,981.07 | Facility | None | $758.58 | $1,318.26 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $3,981.07 Median $8,317.64 Typical High $12,022.64 | Professional | None | $3,981.07 | $8,317.64 | $12,022.64 |
BCBS Mississippi Setting Professional Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Professional | None | $6,456.54 | $6,456.54 | $6,456.54 |
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 $6,165.95 Typical High $6,760.83 | Professional | None | $3,890.45 | $6,165.95 | $6,760.83 |
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 $3,801.89 Median $4,466.84 Typical High $10,471.29 | Professional | None | $3,801.89 | $4,466.84 | $10,471.29 |
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 $1,995.26 Median $4,168.69 Typical High $6,025.60 | Professional | 52 · Reduced service | $1,995.26 | $4,168.69 | $6,025.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $794.33 Median $1,659.59 Typical High $2,398.83 | Professional | 53 · Discontinued | $794.33 | $1,659.59 | $2,398.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,951.21 Median $6,309.57 Typical High $9,120.11 | Professional | 54 · Surgery only | $2,951.21 | $6,309.57 | $9,120.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $588.84 Median $1,258.93 Typical High $1,819.70 | Professional | 55 · Aftercare only | $588.84 | $1,258.93 | $1,819.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $398.11 Median $831.76 Typical High $1,202.26 | Professional | 56 · Pre-op care only | $398.11 | $831.76 | $1,202.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,754.23 Median $5,888.44 Typical High $8,511.38 | Professional | 78 · Unplanned return to OR | $2,754.23 | $5,888.44 | $8,511.38 |
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· 16th of 51
$6,166
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.