How much rates vary
Facilitymedian $3,311 · 10th to 90th $891 to $10,000Professionalmedian $3,890 · 10th to 90th $2,089 to $5,370
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 $1,174.90 Typical High $2,884.03 | Facility | None | $776.25 | $1,174.90 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $4,677.35 Typical High $5,370.32 | Professional | None | $2,137.96 | $4,677.35 | $5,370.32 |
BCBS Mississippi Setting Professional Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Professional | None | $4,265.80 | $4,265.80 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $3,467.37 Typical High $5,495.41 | Facility | None | $660.69 | $3,467.37 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $3,890.45 Typical High $4,265.80 | Professional | None | $1,778.28 | $3,890.45 | $4,265.80 |
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 $13,182.57 | Facility | None | $1,380.38 | $3,311.31 | $13,182.57 |
United Setting Professional Modifier None Typical Low $2,089.30 Median $2,454.71 Typical High $5,623.41 | Professional | None | $2,089.30 | $2,454.71 | $5,623.41 |
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 $1,096.48 Median $2,344.23 Typical High $2,691.53 | Professional | 52 · Reduced service | $1,096.48 | $2,344.23 | $2,691.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $933.25 Typical High $1,071.52 | Professional | 53 · Discontinued | $436.52 | $933.25 | $1,071.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,659.59 Median $3,548.13 Typical High $3,981.07 | Professional | 54 · Surgery only | $1,659.59 | $3,548.13 | $3,981.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $707.95 Typical High $794.33 | Professional | 55 · Aftercare only | $331.13 | $707.95 | $794.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $467.74 Typical High $537.03 | Professional | 56 · Pre-op care only | $218.78 | $467.74 | $537.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,548.82 Median $3,311.31 Typical High $3,715.35 | Professional | 78 · Unplanned return to OR | $1,548.82 | $3,311.31 | $3,715.35 |
Where Mississippi sits
The same service costs 4.0 times more in Alaska 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.
Physician feeFacility fee
AK $19,772TX $4,915
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.