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 $1,202.26 Typical High $2,818.38 | Facility | None | $758.58 | $1,202.26 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $2,570.40 Typical High $3,715.35 | Professional | None | $1,202.26 | $2,570.40 | $3,715.35 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
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 $1,230.27 Median $1,949.84 Typical High $2,089.30 | Professional | None | $1,230.27 | $1,949.84 | $2,089.30 |
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 $1,148.15 Median $1,380.38 Typical High $3,162.28 | Professional | None | $1,148.15 | $1,380.38 | $3,162.28 |
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 $602.56 Median $1,288.25 Typical High $1,862.09 | Professional | 52 · Reduced service | $602.56 | $1,288.25 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $512.86 Typical High $741.31 | Professional | 53 · Discontinued | $239.88 | $512.86 | $741.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $1,905.46 Typical High $2,818.38 | Professional | 54 · Surgery only | $912.01 | $1,905.46 | $2,818.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $380.19 Typical High $562.34 | Professional | 55 · Aftercare only | $181.97 | $380.19 | $562.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $257.04 Typical High $371.54 | Professional | 56 · Pre-op care only | $120.23 | $257.04 | $371.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,778.28 Typical High $2,630.27 | Professional | 78 · Unplanned return to OR | $851.14 | $1,778.28 | $2,630.27 |
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· 16th 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.