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 $630.96 Median $891.25 Typical High $1,995.26 | Facility | None | $630.96 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $1,479.11 Typical High $1,479.11 | Professional | None | $616.60 | $1,479.11 | $1,479.11 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
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 $524.81 Median $1,023.29 Typical High $1,288.25 | Professional | None | $524.81 | $1,023.29 | $1,288.25 |
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 $977.24 Median $1,737.80 Typical High $6,456.54 | Facility | None | $977.24 | $1,737.80 | $6,456.54 |
United Setting Professional Modifier None Typical Low $645.65 Median $741.31 Typical High $1,548.82 | Professional | None | $645.65 | $741.31 | $1,548.82 |
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 $309.03 Median $741.31 Typical High $741.31 | Professional | 52 · Reduced service | $309.03 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $295.12 Typical High $295.12 | Professional | 53 · Discontinued | $123.03 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $1,122.02 Typical High $1,122.02 | Professional | 54 · Surgery only | $457.09 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $223.87 Typical High $223.87 | Professional | 55 · Aftercare only | $91.20 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $147.91 Typical High $147.91 | Professional | 56 · Pre-op care only | $61.66 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $1,047.13 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $426.58 | $1,047.13 | $1,047.13 |
Where Mississippi sits
The same service costs 6.9 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· 18th of 51
$1,072
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.