How much rates vary
Facilitymedian $3,311 · 10th to 90th $955 to $10,715Professionalmedian $2,188 · 10th to 90th $977 to $2,570
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 $1,096.48 Typical High $2,818.38 | Facility | None | $776.25 | $1,096.48 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,659.59 Typical High $2,187.76 | Professional | None | $977.24 | $1,659.59 | $2,187.76 |
Ambetter Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
BCBS Mississippi Setting Facility Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $6,606.93 | Facility | None | $6,606.93 | $6,606.93 | $6,606.93 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,511.89 | $2,511.89 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $4,265.80 Typical High $8,709.64 | Facility | None | $891.25 | $4,265.80 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $2,290.87 Typical High $2,630.27 | Professional | None | $851.14 | $2,290.87 | $2,630.27 |
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 $1,380.38 Median $3,311.31 Typical High $16,218.10 | Facility | None | $1,380.38 | $3,311.31 | $16,218.10 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $1,621.81 Typical High $3,090.30 | Professional | None | $1,348.96 | $1,621.81 | $3,090.30 |
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 $489.78 Median $1,096.48 Typical High $1,096.48 | Professional | 52 · Reduced service | $489.78 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $436.52 Typical High $436.52 | Professional | 53 · Discontinued | $194.98 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $1,621.81 Typical High $1,621.81 | Professional | 54 · Surgery only | $741.31 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $331.13 Typical High $331.13 | Professional | 55 · Aftercare only | $147.91 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $218.78 Typical High $218.78 | Professional | 56 · Pre-op care only | $97.72 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $691.83 Median $1,513.56 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $691.83 | $1,513.56 | $1,513.56 |
Where Mississippi sits
The same service costs 6.3 times more in Wyoming than in Hawaii. 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
WY $21,505HI $3,422
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.