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 $549.54 Median $1,000.00 Typical High $1,995.26 | Facility | None | $549.54 | $1,000.00 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $1,047.13 Typical High $3,467.37 | Professional | None | $354.81 | $1,047.13 | $3,467.37 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
BCBS Mississippi Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | None | $4,466.84 | $4,466.84 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,174.90 Typical High $2,290.87 | Facility | None | $660.69 | $1,174.90 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $1,258.93 Typical High $3,162.28 | Professional | None | $446.68 | $1,258.93 | $3,162.28 |
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 $1,122.02 Median $2,511.89 Typical High $7,244.36 | Facility | None | $1,122.02 | $2,511.89 | $7,244.36 |
United Setting Professional Modifier None Typical Low $389.05 Median $1,348.96 Typical High $3,715.35 | Professional | None | $389.05 | $1,348.96 | $3,715.35 |
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 $177.83 Median $524.81 Typical High $1,698.24 | Professional | 52 · Reduced service | $177.83 | $524.81 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $208.93 Typical High $691.83 | Professional | 53 · Discontinued | $70.79 | $208.93 | $691.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $794.33 Typical High $2,570.40 | Professional | 54 · Surgery only | $269.15 | $794.33 | $2,570.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $158.49 Typical High $512.86 | Professional | 55 · Aftercare only | $53.70 | $158.49 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $104.71 Typical High $346.74 | Professional | 56 · Pre-op care only | $35.48 | $104.71 | $346.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $741.31 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $251.19 | $741.31 | $2,398.83 |
Where Mississippi sits
The same service costs 4.9 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· 31st of 51
$1,445
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.