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 $1,047.13 Typical High $1,995.26 | Facility | None | $758.58 | $1,047.13 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $1,819.70 Typical High $1,819.70 | Professional | None | $724.44 | $1,819.70 | $1,819.70 |
BCBS Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
BCBS Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,659.59 Typical High $3,311.31 | Facility | None | $794.33 | $1,659.59 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $1,122.02 Typical High $1,318.26 | Professional | None | $524.81 | $1,122.02 | $1,318.26 |
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 $676.08 Median $758.58 Typical High $1,445.44 | Professional | None | $676.08 | $758.58 | $1,445.44 |
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 $363.08 Median $912.01 Typical High $912.01 | Professional | 52 · Reduced service | $363.08 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $371.54 Typical High $371.54 | Professional | 53 · Discontinued | $144.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $1,380.38 Typical High $1,380.38 | Professional | 54 · Surgery only | $537.03 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $275.42 Typical High $275.42 | Professional | 55 · Aftercare only | $107.15 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $181.97 Typical High $181.97 | Professional | 56 · Pre-op care only | $72.44 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $1,288.25 Typical High $1,288.25 | Professional | 78 · Unplanned return to OR | $501.19 | $1,288.25 | $1,288.25 |
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· 16th of 51
$1,288
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.