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 $707.95 Median $1,096.48 Typical High $2,570.40 | Facility | None | $707.95 | $1,096.48 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $2,511.89 Typical High $2,630.27 | Professional | None | $1,023.29 | $2,511.89 | $2,630.27 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,202.26 Typical High $2,398.83 | Facility | None | $660.69 | $1,202.26 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,348.96 Typical High $1,513.56 | Professional | None | $794.33 | $1,348.96 | $1,513.56 |
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 $1,122.02 Median $2,511.89 Typical High $6,760.83 | Facility | None | $1,122.02 | $2,511.89 | $6,760.83 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,148.15 Typical High $2,187.76 | Professional | None | $912.01 | $1,148.15 | $2,187.76 |
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 $512.86 Median $1,258.93 Typical High $1,318.26 | Professional | 52 · Reduced service | $512.86 | $1,258.93 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $501.19 Typical High $524.81 | Professional | 53 · Discontinued | $204.17 | $501.19 | $524.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $1,905.46 Typical High $1,949.84 | Professional | 54 · Surgery only | $758.58 | $1,905.46 | $1,949.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $380.19 Typical High $398.11 | Professional | 55 · Aftercare only | $151.36 | $380.19 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $251.19 Typical High $263.03 | Professional | 56 · Pre-op care only | $102.33 | $251.19 | $263.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $1,778.28 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $707.95 | $1,778.28 | $1,819.70 |
Where Mississippi sits
The same service costs 7.6 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· 27th of 51
$1,413
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.