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 $616.60 Median $1,071.52 Typical High $1,995.26 | Facility | None | $616.60 | $1,071.52 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $2,754.23 Typical High $3,388.44 | Professional | None | $1,071.52 | $2,754.23 | $3,388.44 |
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 $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $912.01 Typical High $1,819.70 | Facility | None | $630.96 | $912.01 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,778.28 Typical High $2,089.30 | Professional | None | $851.14 | $1,778.28 | $2,089.30 |
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 $977.24 Median $1,737.80 Typical High $5,623.41 | Facility | None | $977.24 | $1,737.80 | $5,623.41 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,230.27 Typical High $2,511.89 | Professional | None | $1,023.29 | $1,230.27 | $2,511.89 |
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 $1,380.38 Typical High $1,698.24 | Professional | 52 · Reduced service | $537.03 | $1,380.38 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $549.54 Typical High $691.83 | Professional | 53 · Discontinued | $213.80 | $549.54 | $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 $416.87 Typical High $512.86 | Professional | 55 · Aftercare only | $162.18 | $416.87 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $275.42 Typical High $338.84 | Professional | 56 · Pre-op care only | $107.15 | $275.42 | $338.84 |
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 6.2 times more in Alaska than in Utah. 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· 16th of 51
$1,778
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.