How much rates vary
Facilitymedian $1,259 · 10th to 90th $676 to $4,467Professionalmedian $263 · 10th to 90th $162 to $427
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 $213.80 Median $758.58 Typical High $1,819.70 | Facility | None | $213.80 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $331.13 Typical High $478.63 | Professional | None | $151.36 | $331.13 | $478.63 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
BCBS Mississippi Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,202.26 Typical High $2,398.83 | Facility | None | $630.96 | $1,202.26 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $269.15 Typical High $363.08 | Professional | None | $162.18 | $269.15 | $363.08 |
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 $758.58 Median $1,412.54 Typical High $5,370.32 | Facility | None | $758.58 | $1,412.54 | $5,370.32 |
United Setting Professional Modifier None Typical Low $165.96 Median $223.87 Typical High $416.87 | Professional | None | $165.96 | $223.87 | $416.87 |
7 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 $75.86 Median $169.82 Typical High $239.88 | Professional | 52 · Reduced service | $75.86 | $169.82 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $67.61 Typical High $95.50 | Professional | 53 · Discontinued | $30.20 | $67.61 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $251.19 Typical High $363.08 | Professional | 54 · Surgery only | $114.82 | $251.19 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $50.12 Typical High $72.44 | Professional | 55 · Aftercare only | $22.91 | $50.12 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $33.88 Typical High $47.86 | Professional | 56 · Pre-op care only | $15.14 | $33.88 | $47.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $107.15 Median $234.42 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $107.15 | $234.42 | $338.84 |
Ambetter Setting Professional Modifier 78 · Unplanned return to OR Typical Low $144.54 Median $144.54 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $144.54 | $144.54 | $398.11 |
Where Mississippi sits
The same service costs 9.3 times more in Colorado than in Montana. 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.
Physician feeFacility fee
CO $5,912MT $637
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.