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 $776.25 Median $1,380.38 Typical High $2,818.38 | Facility | None | $776.25 | $1,380.38 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $2,570.40 Typical High $2,570.40 | Professional | None | $1,071.52 | $2,570.40 | $2,570.40 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,000.00 Typical High $1,202.26 | Facility | None | $660.69 | $1,000.00 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,737.80 Typical High $2,290.87 | Professional | None | $912.01 | $1,737.80 | $2,290.87 |
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 $323.59 Median $691.83 Typical High $3,090.30 | Facility | None | $323.59 | $691.83 | $3,090.30 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,318.26 Typical High $2,818.38 | Professional | None | $1,202.26 | $1,318.26 | $2,818.38 |
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 $537.03 Median $1,288.25 Typical High $1,288.25 | Professional | 52 · Reduced service | $537.03 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $512.86 Typical High $512.86 | Professional | 53 · Discontinued | $213.80 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $1,949.84 Typical High $1,949.84 | Professional | 54 · Surgery only | $794.33 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $389.05 Typical High $389.05 | Professional | 55 · Aftercare only | $158.49 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $257.04 Typical High $257.04 | Professional | 56 · Pre-op care only | $107.15 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $1,819.70 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $741.31 | $1,819.70 | $1,819.70 |
Where Mississippi sits
The same service costs 7.1 times more in Alaska than in Texas. 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· 34th 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.