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 $1,000.00 Median $1,905.46 Typical High $2,089.30 | Professional | None | $1,000.00 | $1,905.46 | $2,089.30 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $2,884.03 Typical High $16,595.87 | Facility | None | $1,548.82 | $2,884.03 | $16,595.87 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,513.56 Typical High $1,949.84 | Professional | None | $1,000.00 | $1,513.56 | $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 $1,380.38 Median $3,311.31 Typical High $15,488.17 | Facility | None | $1,380.38 | $3,311.31 | $15,488.17 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,258.93 Typical High $2,454.71 | Professional | None | $1,023.29 | $1,258.93 | $2,454.71 |
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 $954.99 Typical High $1,047.13 | Professional | 52 · Reduced service | $501.19 | $954.99 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $380.19 Typical High $416.87 | Professional | 53 · Discontinued | $199.53 | $380.19 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $1,412.54 Typical High $1,584.89 | Professional | 54 · Surgery only | $741.31 | $1,412.54 | $1,584.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $281.84 Typical High $316.23 | Professional | 55 · Aftercare only | $147.91 | $281.84 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $190.55 Typical High $208.93 | Professional | 56 · Pre-op care only | $100.00 | $190.55 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $1,318.26 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $691.83 | $1,318.26 | $1,479.11 |
Where Mississippi sits
The same service costs 8.9 times more in Oklahoma 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· 35th of 51
$1,549
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.