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 $1,000.00 Typical High $2,818.38 | Facility | None | $758.58 | $1,000.00 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $3,019.95 Typical High $3,019.95 | Professional | None | $954.99 | $3,019.95 | $3,019.95 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,412.54 Typical High $2,884.03 | Facility | None | $660.69 | $1,412.54 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $1,548.82 Typical High $1,698.24 | Professional | None | $741.31 | $1,548.82 | $1,698.24 |
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 $1,122.02 Median $2,511.89 Typical High $7,244.36 | Facility | None | $1,122.02 | $2,511.89 | $7,244.36 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,148.15 Typical High $2,570.40 | Professional | None | $851.14 | $1,148.15 | $2,570.40 |
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 $478.63 Median $1,513.56 Typical High $1,513.56 | Professional | 52 · Reduced service | $478.63 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $602.56 Typical High $602.56 | Professional | 53 · Discontinued | $190.55 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $2,238.72 Typical High $2,238.72 | Professional | 54 · Surgery only | $707.95 | $2,238.72 | $2,238.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $446.68 Typical High $446.68 | Professional | 55 · Aftercare only | $141.25 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $302.00 Typical High $302.00 | Professional | 56 · Pre-op care only | $95.50 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $2,089.30 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $660.69 | $2,089.30 | $2,089.30 |
Where Mississippi sits
The same service costs 6.6 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· 22nd 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.