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 $776.25 Median $1,174.90 Typical High $2,884.03 | Facility | None | $776.25 | $1,174.90 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $2,884.03 Typical High $4,168.69 | Professional | None | $1,380.38 | $2,884.03 | $4,168.69 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
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 $1,380.38 Median $2,238.72 Typical High $2,344.23 | Professional | None | $1,380.38 | $2,238.72 | $2,344.23 |
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 $1,318.26 Median $1,548.82 Typical High $3,630.78 | Professional | None | $1,318.26 | $1,548.82 | $3,630.78 |
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 $691.83 Median $1,445.44 Typical High $2,089.30 | Professional | 52 · Reduced service | $691.83 | $1,445.44 | $2,089.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $575.44 Typical High $851.14 | Professional | 53 · Discontinued | $275.42 | $575.44 | $851.14 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $2,187.76 Typical High $3,162.28 | Professional | 54 · Surgery only | $1,023.29 | $2,187.76 | $3,162.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $436.52 Typical High $630.96 | Professional | 55 · Aftercare only | $204.17 | $436.52 | $630.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $288.40 Typical High $416.87 | Professional | 56 · Pre-op care only | $138.04 | $288.40 | $416.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $2,041.74 Typical High $2,951.21 | Professional | 78 · Unplanned return to OR | $954.99 | $2,041.74 | $2,951.21 |
Where Mississippi sits
The same service costs 5.2 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
$1,950
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.