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 $1,995.26 | Facility | None | $478.63 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $2,290.87 Typical High $2,290.87 | Professional | None | $891.25 | $2,290.87 | $2,290.87 |
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 $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
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 $645.65 Median $1,380.38 Typical High $1,621.81 | Professional | None | $645.65 | $1,380.38 | $1,621.81 |
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 $7,585.78 | Facility | None | $758.58 | $1,412.54 | $7,585.78 |
United Setting Professional Modifier None Typical Low $831.76 Median $933.25 Typical High $1,778.28 | Professional | None | $831.76 | $933.25 | $1,778.28 |
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 $446.68 Median $1,148.15 Typical High $1,148.15 | Professional | 52 · Reduced service | $446.68 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $457.09 Typical High $457.09 | Professional | 53 · Discontinued | $177.83 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $1,698.24 Typical High $1,698.24 | Professional | 54 · Surgery only | $676.08 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $346.74 Typical High $346.74 | Professional | 55 · Aftercare only | $134.90 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $229.09 Typical High $229.09 | Professional | 56 · Pre-op care only | $89.13 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $1,584.89 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $630.96 | $1,584.89 | $1,584.89 |
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· 15th of 51
$1,514
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.