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 $891.25 Typical High $1,995.26 | Facility | None | $616.60 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $1,949.84 Typical High $2,041.74 | Professional | None | $794.33 | $1,949.84 | $2,041.74 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,659.59 Typical High $3,311.31 | Facility | None | $630.96 | $1,659.59 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $954.99 Typical High $1,096.48 | Professional | None | $630.96 | $954.99 | $1,096.48 |
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 $7,244.36 | Facility | None | $977.24 | $1,737.80 | $7,244.36 |
United Setting Professional Modifier None Typical Low $660.69 Median $812.83 Typical High $1,548.82 | Professional | None | $660.69 | $812.83 | $1,548.82 |
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 $398.11 Median $977.24 Typical High $1,023.29 | Professional | 52 · Reduced service | $398.11 | $977.24 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $389.05 Typical High $407.38 | Professional | 53 · Discontinued | $158.49 | $389.05 | $407.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $1,479.11 Typical High $1,548.82 | Professional | 54 · Surgery only | $588.84 | $1,479.11 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $295.12 Typical High $309.03 | Professional | 55 · Aftercare only | $117.49 | $295.12 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $194.98 Typical High $204.17 | Professional | 56 · Pre-op care only | $79.43 | $194.98 | $204.17 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $1,380.38 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $549.54 | $1,380.38 | $1,445.44 |
Where Mississippi sits
The same service costs 8.3 times more in Wyoming 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· 28th of 51
$1,072
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.