How much rates vary
Facilitymedian $3,311 · 10th to 90th $891 to $10,000Professionalmedian $1,698 · 10th to 90th $1,072 to $3,311
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 $1,318.26 Median $2,884.03 Typical High $3,311.31 | Professional | None | $1,318.26 | $2,884.03 | $3,311.31 |
BCBS Mississippi 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 |
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 $1,096.48 Median $2,344.23 Typical High $2,570.40 | Professional | None | $1,096.48 | $2,344.23 | $2,570.40 |
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 $977.24 Median $1,445.44 Typical High $3,388.44 | Professional | None | $977.24 | $1,445.44 | $3,388.44 |
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 $676.08 Median $1,445.44 Typical High $1,621.81 | Professional | 52 · Reduced service | $676.08 | $1,445.44 | $1,621.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $575.44 Typical High $660.69 | Professional | 53 · Discontinued | $269.15 | $575.44 | $660.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,023.29 Median $2,187.76 Typical High $2,454.71 | Professional | 54 · Surgery only | $1,023.29 | $2,187.76 | $2,454.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $204.17 Median $436.52 Typical High $489.78 | Professional | 55 · Aftercare only | $204.17 | $436.52 | $489.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $134.90 Median $288.40 Typical High $331.13 | Professional | 56 · Pre-op care only | $134.90 | $288.40 | $331.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $954.99 Median $2,041.74 Typical High $2,290.87 | Professional | 78 · Unplanned return to OR | $954.99 | $2,041.74 | $2,290.87 |
Where Mississippi sits
The same service costs 5.5 times more in Alaska than in Kentucky. 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 $15,938KY $2,890
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.