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 $707.95 Median $891.25 Typical High $2,137.96 | Facility | None | $707.95 | $891.25 | $2,137.96 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $2,137.96 Typical High $2,137.96 | Professional | None | $831.76 | $2,137.96 | $2,137.96 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,659.59 Typical High $3,311.31 | Facility | None | $660.69 | $1,659.59 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $1,318.26 Typical High $1,584.89 | Professional | None | $602.56 | $1,318.26 | $1,584.89 |
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 $6,606.93 | Facility | None | $977.24 | $1,737.80 | $6,606.93 |
United Setting Professional Modifier None Typical Low $776.25 Median $870.96 Typical High $1,698.24 | Professional | None | $776.25 | $870.96 | $1,698.24 |
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 $416.87 Median $1,071.52 Typical High $1,071.52 | Professional | 52 · Reduced service | $416.87 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $426.58 Typical High $426.58 | Professional | 53 · Discontinued | $169.82 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $1,621.81 Typical High $1,621.81 | Professional | 54 · Surgery only | $630.96 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $323.59 Typical High $323.59 | Professional | 55 · Aftercare only | $125.89 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $213.80 Typical High $213.80 | Professional | 56 · Pre-op care only | $83.18 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $1,513.56 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $588.84 | $1,513.56 | $1,513.56 |
Where Mississippi sits
The same service costs 6.6 times more in Oklahoma 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· 17th 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.