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 $478.63 Median $891.25 Typical High $1,819.70 | Facility | None | $478.63 | $891.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $1,318.26 Typical High $1,318.26 | Professional | None | $512.86 | $1,318.26 | $1,318.26 |
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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,621.81 Typical High $3,162.28 | Facility | None | $436.52 | $1,621.81 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $794.33 Typical High $933.25 | Professional | None | $371.54 | $794.33 | $933.25 |
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 $758.58 Median $1,412.54 Typical High $6,456.54 | Facility | None | $758.58 | $1,412.54 | $6,456.54 |
United Setting Professional Modifier None Typical Low $478.63 Median $537.03 Typical High $1,023.29 | Professional | None | $478.63 | $537.03 | $1,023.29 |
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 $257.04 Median $660.69 Typical High $660.69 | Professional | 52 · Reduced service | $257.04 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $263.03 Typical High $263.03 | Professional | 53 · Discontinued | $102.33 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $977.24 Typical High $977.24 | Professional | 54 · Surgery only | $389.05 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $194.98 Typical High $194.98 | Professional | 55 · Aftercare only | $77.62 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $131.83 Typical High $131.83 | Professional | 56 · Pre-op care only | $51.29 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $912.01 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $363.08 | $912.01 | $912.01 |
Where Mississippi sits
The same service costs 5.5 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
$933
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.