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 $1,000.00 Median $2,570.40 Typical High $3,162.28 | Professional | None | $1,000.00 | $2,570.40 | $3,162.28 |
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 $831.76 Median $1,230.27 Typical High $1,778.28 | Professional | None | $831.76 | $1,230.27 | $1,778.28 |
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 $707.95 Median $1,096.48 Typical High $2,238.72 | Professional | None | $707.95 | $1,096.48 | $2,238.72 |
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 $501.19 Median $1,288.25 Typical High $1,584.89 | Professional | 52 · Reduced service | $501.19 | $1,288.25 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $512.86 Typical High $630.96 | Professional | 53 · Discontinued | $199.53 | $512.86 | $630.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $1,949.84 Typical High $2,398.83 | Professional | 54 · Surgery only | $741.31 | $1,949.84 | $2,398.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $389.05 Typical High $478.63 | Professional | 55 · Aftercare only | $147.91 | $389.05 | $478.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $257.04 Typical High $316.23 | Professional | 56 · Pre-op care only | $100.00 | $257.04 | $316.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $1,819.70 Typical High $2,238.72 | Professional | 78 · Unplanned return to OR | $691.83 | $1,819.70 | $2,238.72 |
Where Mississippi sits
The same service costs 21.9 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· 31st of 51
$1,230
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.