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 $758.58 Median $1,318.26 Typical High $2,818.38 | Facility | None | $758.58 | $1,318.26 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $2,398.83 Median $7,762.47 Typical High $7,762.47 | Professional | None | $2,398.83 | $7,762.47 | $7,762.47 |
BCBS Mississippi Setting Professional Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | None | $3,981.07 | $3,981.07 | $3,981.07 |
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 $1,862.09 Median $4,073.80 Typical High $4,897.79 | Professional | None | $1,862.09 | $4,073.80 | $4,897.79 |
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 $2,344.23 Median $2,951.21 Typical High $6,606.93 | Professional | None | $2,344.23 | $2,951.21 | $6,606.93 |
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 $1,202.26 Median $3,890.45 Typical High $3,890.45 | Professional | 52 · Reduced service | $1,202.26 | $3,890.45 | $3,890.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $1,548.82 Typical High $1,548.82 | Professional | 53 · Discontinued | $489.78 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,819.70 Median $5,754.40 Typical High $5,754.40 | Professional | 54 · Surgery only | $1,819.70 | $5,754.40 | $5,754.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $1,148.15 Typical High $1,148.15 | Professional | 55 · Aftercare only | $363.08 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $776.25 Typical High $776.25 | Professional | 56 · Pre-op care only | $239.88 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,698.24 Median $5,370.32 Typical High $5,370.32 | Professional | 78 · Unplanned return to OR | $1,698.24 | $5,370.32 | $5,370.32 |
Where Mississippi sits
The same service costs 17.0 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· 33rd of 51
$3,020
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.