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 $1,096.48 Typical High $2,818.38 | Facility | None | $758.58 | $1,096.48 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $2,818.38 Typical High $3,467.37 | Professional | None | $1,071.52 | $2,818.38 | $3,467.37 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $954.99 Typical High $1,819.70 | Facility | None | $660.69 | $954.99 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,659.59 Typical High $1,862.09 | Professional | None | $891.25 | $1,659.59 | $1,862.09 |
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 $467.74 Median $758.58 Typical High $3,388.44 | Facility | None | $467.74 | $758.58 | $3,388.44 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,148.15 Typical High $2,454.71 | Professional | None | $891.25 | $1,148.15 | $2,454.71 |
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 $537.03 Median $1,412.54 Typical High $1,737.80 | Professional | 52 · Reduced service | $537.03 | $1,412.54 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $562.34 Typical High $691.83 | Professional | 53 · Discontinued | $218.78 | $562.34 | $691.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $2,089.30 Typical High $2,570.40 | Professional | 54 · Surgery only | $812.83 | $2,089.30 | $2,570.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $426.58 Typical High $524.81 | Professional | 55 · Aftercare only | $162.18 | $426.58 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $281.84 Typical High $346.74 | Professional | 56 · Pre-op care only | $109.65 | $281.84 | $346.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $1,949.84 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $758.58 | $1,949.84 | $2,398.83 |
Where Mississippi sits
The same service costs 5.8 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· 19th of 51
$1,479
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.