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 $1,148.15 Typical High $2,570.40 | Facility | None | $707.95 | $1,148.15 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $3,715.35 Typical High $3,715.35 | Professional | None | $1,445.44 | $3,715.35 | $3,715.35 |
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 $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $2,570.40 Typical High $4,073.80 | Facility | None | $660.69 | $2,570.40 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $2,290.87 Typical High $2,630.27 | Professional | None | $1,047.13 | $2,290.87 | $2,630.27 |
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 $9,549.93 | Facility | None | $1,122.02 | $2,511.89 | $9,549.93 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $1,513.56 Typical High $2,884.03 | Professional | None | $1,348.96 | $1,513.56 | $2,884.03 |
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 $724.44 Median $1,862.09 Typical High $1,862.09 | Professional | 52 · Reduced service | $724.44 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $288.40 Median $741.31 Typical High $741.31 | Professional | 53 · Discontinued | $288.40 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $2,754.23 Typical High $2,754.23 | Professional | 54 · Surgery only | $1,096.48 | $2,754.23 | $2,754.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $549.54 Typical High $549.54 | Professional | 55 · Aftercare only | $218.78 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $371.54 Typical High $371.54 | Professional | 56 · Pre-op care only | $144.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $2,570.40 Typical High $2,570.40 | Professional | 78 · Unplanned return to OR | $1,023.29 | $2,570.40 | $2,570.40 |
Where Mississippi sits
The same service costs 5.8 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· 13th of 51
$2,512
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.