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 $794.33 Median $1,905.46 Typical High $1,905.46 | Professional | None | $794.33 | $1,905.46 | $1,905.46 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
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 $676.08 Median $1,258.93 Typical High $1,659.59 | Professional | None | $676.08 | $1,258.93 | $1,659.59 |
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 $870.96 Median $954.99 Typical High $2,041.74 | Professional | None | $870.96 | $954.99 | $2,041.74 |
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 $389.05 Median $954.99 Typical High $954.99 | Professional | 52 · Reduced service | $389.05 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $380.19 Typical High $380.19 | Professional | 53 · Discontinued | $158.49 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $1,445.44 Typical High $1,445.44 | Professional | 54 · Surgery only | $588.84 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $288.40 Typical High $288.40 | Professional | 55 · Aftercare only | $117.49 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $190.55 Typical High $190.55 | Professional | 56 · Pre-op care only | $79.43 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $1,348.96 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $549.54 | $1,348.96 | $1,348.96 |
Where Mississippi sits
The same service costs 6.3 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· 23rd of 51
$1,230
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.