How much rates vary
Facilitymedian $1,230 · 10th to 90th $646 to $4,467Professionalmedian $417 · 10th to 90th $251 to $692
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 $245.47 Median $758.58 Typical High $1,819.70 | Facility | None | $245.47 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $524.81 Typical High $758.58 | Professional | None | $245.47 | $524.81 | $758.58 |
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 $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
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 $239.88 Median $398.11 Typical High $562.34 | Professional | None | $239.88 | $398.11 | $562.34 |
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 $275.42 Median $371.54 Typical High $691.83 | Professional | None | $275.42 | $371.54 | $691.83 |
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 $123.03 Median $275.42 Typical High $380.19 | Professional | 52 · Reduced service | $123.03 | $275.42 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $109.65 Typical High $151.36 | Professional | 53 · Discontinued | $50.12 | $109.65 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $416.87 Typical High $562.34 | Professional | 54 · Surgery only | $186.21 | $416.87 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $83.18 Typical High $112.20 | Professional | 55 · Aftercare only | $37.15 | $83.18 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $54.95 Typical High $75.86 | Professional | 56 · Pre-op care only | $24.55 | $54.95 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $389.05 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $173.78 | $389.05 | $524.81 |
Where Mississippi sits
The same service costs 6.1 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 $6,346MT $1,043
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.