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 $1,148.15 Typical High $2,818.38 | Facility | None | $758.58 | $1,148.15 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $3,388.44 Typical High $3,388.44 | Professional | None | $1,148.15 | $3,388.44 | $3,388.44 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,630.27 | $2,630.27 | $2,630.27 |
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 $912.01 Median $1,949.84 Typical High $2,290.87 | Professional | None | $912.01 | $1,949.84 | $2,290.87 |
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 $1,479.11 Typical High $2,630.27 | Professional | None | $1,148.15 | $1,479.11 | $2,630.27 |
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 $575.44 Median $1,698.24 Typical High $1,698.24 | Professional | 52 · Reduced service | $575.44 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $676.08 Typical High $676.08 | Professional | 53 · Discontinued | $229.09 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $2,511.89 Typical High $2,511.89 | Professional | 54 · Surgery only | $851.14 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $512.86 Typical High $512.86 | Professional | 55 · Aftercare only | $169.82 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $338.84 Typical High $338.84 | Professional | 56 · Pre-op care only | $114.82 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $2,344.23 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $794.33 | $2,344.23 | $2,344.23 |
Where Mississippi sits
The same service costs 5.9 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· 20th of 51
$1,698
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.