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 $776.25 Median $1,380.38 Typical High $2,818.38 | Facility | None | $776.25 | $1,380.38 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $2,570.40 Typical High $2,570.40 | Professional | None | $1,174.90 | $2,570.40 | $2,570.40 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
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 $1,258.93 Median $2,884.03 Typical High $5,888.44 | Facility | None | $1,258.93 | $2,884.03 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,659.59 Typical High $1,949.84 | Professional | None | $933.25 | $1,659.59 | $1,949.84 |
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 $10,232.93 | Facility | None | $1,122.02 | $2,511.89 | $10,232.93 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,258.93 Typical High $2,570.40 | Professional | None | $1,148.15 | $1,258.93 | $2,570.40 |
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 $588.84 Median $1,288.25 Typical High $1,288.25 | Professional | 52 · Reduced service | $588.84 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $512.86 Typical High $512.86 | Professional | 53 · Discontinued | $234.42 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $1,905.46 Typical High $1,905.46 | Professional | 54 · Surgery only | $891.25 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $389.05 Typical High $389.05 | Professional | 55 · Aftercare only | $177.83 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $257.04 Typical High $257.04 | Professional | 56 · Pre-op care only | $117.49 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $1,778.28 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $831.76 | $1,778.28 | $1,778.28 |
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· 19th of 51
$2,042
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.