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 $954.99 Typical High $1,995.26 | Facility | None | $616.60 | $954.99 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $2,818.38 Typical High $2,818.38 | Professional | None | $954.99 | $2,818.38 | $2,818.38 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
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 $1,023.29 Typical High $1,949.84 | Facility | None | $660.69 | $1,023.29 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $1,621.81 Typical High $1,905.46 | Professional | None | $758.58 | $1,621.81 | $1,905.46 |
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 $758.58 Median $1,412.54 Typical High $4,466.84 | Facility | None | $758.58 | $1,412.54 | $4,466.84 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,202.26 Typical High $2,137.96 | Professional | None | $912.01 | $1,202.26 | $2,137.96 |
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 $478.63 Median $1,412.54 Typical High $1,412.54 | Professional | 52 · Reduced service | $478.63 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $562.34 Typical High $562.34 | Professional | 53 · Discontinued | $190.55 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $2,089.30 Typical High $2,089.30 | Professional | 54 · Surgery only | $707.95 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $416.87 Typical High $416.87 | Professional | 55 · Aftercare only | $141.25 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $281.84 Typical High $281.84 | Professional | 56 · Pre-op care only | $95.50 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $1,949.84 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $660.69 | $1,949.84 | $1,949.84 |
Where Mississippi sits
The same service costs 5.9 times more in Alaska than in Utah. 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· 18th of 51
$1,549
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.