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 $2,691.53 | Facility | None | $758.58 | $1,000.00 | $2,691.53 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $2,187.76 Typical High $2,691.53 | Professional | None | $851.14 | $2,187.76 | $2,691.53 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,659.59 | $1,659.59 | $1,659.59 |
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 $1,412.54 Typical High $1,584.89 | Professional | None | $676.08 | $1,412.54 | $1,584.89 |
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 $794.33 Median $977.24 Typical High $1,949.84 | Professional | None | $794.33 | $977.24 | $1,949.84 |
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 $426.58 Median $1,096.48 Typical High $1,348.96 | Professional | 52 · Reduced service | $426.58 | $1,096.48 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $436.52 Typical High $537.03 | Professional | 53 · Discontinued | $169.82 | $436.52 | $537.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $1,621.81 Typical High $1,995.26 | Professional | 54 · Surgery only | $630.96 | $1,621.81 | $1,995.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $323.59 Typical High $407.38 | Professional | 55 · Aftercare only | $125.89 | $323.59 | $407.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $218.78 Typical High $269.15 | Professional | 56 · Pre-op care only | $85.11 | $218.78 | $269.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $1,513.56 Typical High $1,862.09 | Professional | 78 · Unplanned return to OR | $588.84 | $1,513.56 | $1,862.09 |
Where Mississippi sits
The same service costs 24.0 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· 17th of 51
$1,288
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.