How much rates vary
Facilitymedian $1,148 · 10th to 90th $490 to $3,715Professionalmedian $1,122 · 10th to 90th $676 to $1,514
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 $616.60 Median $891.25 Typical High $1,819.70 | Facility | None | $616.60 | $891.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $1,148.15 Typical High $1,513.56 | Professional | None | $676.08 | $1,148.15 | $1,513.56 |
Ambetter Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,819.70 Typical High $2,884.03 | Facility | None | $630.96 | $1,819.70 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $1,000.00 Typical High $1,230.27 | Professional | None | $588.84 | $1,000.00 | $1,230.27 |
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 $467.74 Median $758.58 Typical High $5,370.32 | Facility | None | $467.74 | $758.58 | $5,370.32 |
United Setting Professional Modifier None Typical Low $707.95 Median $831.76 Typical High $1,548.82 | Professional | None | $707.95 | $831.76 | $1,548.82 |
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 $338.84 Median $575.44 Typical High $758.58 | Professional | 52 · Reduced service | $338.84 | $575.44 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $234.42 Typical High $302.00 | Professional | 53 · Discontinued | $134.90 | $234.42 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $870.96 Typical High $1,122.02 | Professional | 54 · Surgery only | $512.86 | $870.96 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $173.78 Typical High $229.09 | Professional | 55 · Aftercare only | $102.33 | $173.78 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $114.82 Typical High $151.36 | Professional | 56 · Pre-op care only | $67.61 | $114.82 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $812.83 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $478.63 | $812.83 | $1,047.13 |
Where Mississippi sits
The same service costs 3.5 times more in Alaska than in Georgia. 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
AK $7,038GA $2,000
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.