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 $891.25 Typical High $1,995.26 | Facility | None | $616.60 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $812.83 | $2,398.83 | $2,398.83 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $2,570.40 Typical High $4,365.16 | Facility | None | $630.96 | $2,570.40 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $1,380.38 Typical High $1,621.81 | Professional | None | $645.65 | $1,380.38 | $1,621.81 |
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 $977.24 Median $1,737.80 Typical High $8,912.51 | Facility | None | $977.24 | $1,737.80 | $8,912.51 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,071.52 Typical High $1,905.46 | Professional | None | $831.76 | $1,071.52 | $1,905.46 |
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 $407.38 Median $1,202.26 Typical High $1,202.26 | Professional | 52 · Reduced service | $407.38 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $478.63 Typical High $478.63 | Professional | 53 · Discontinued | $162.18 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $1,819.70 Typical High $1,819.70 | Professional | 54 · Surgery only | $616.60 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $363.08 Typical High $363.08 | Professional | 55 · Aftercare only | $123.03 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $239.88 Typical High $239.88 | Professional | 56 · Pre-op care only | $81.28 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $1,698.24 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $575.44 | $1,698.24 | $1,698.24 |
Where Mississippi sits
The same service costs 5.6 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.