How much rates vary
Facilitymedian $2,692 · 10th to 90th $977 to $8,710Professionalmedian $1,995 · 10th to 90th $1,122 to $2,818
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 $1,148.15 Typical High $2,818.38 | Facility | None | $776.25 | $1,148.15 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $2,454.71 Typical High $2,818.38 | Professional | None | $1,148.15 | $2,454.71 | $2,818.38 |
Ambetter Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,691.53 | $2,691.53 | $2,691.53 |
BCBS Mississippi Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | None | $2,187.76 | $2,187.76 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $3,467.37 Typical High $6,606.93 | Facility | None | $891.25 | $3,467.37 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,995.26 Typical High $2,238.72 | Professional | None | $933.25 | $1,995.26 | $2,238.72 |
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 $1,122.02 Median $2,511.89 Typical High $12,022.64 | Facility | None | $1,122.02 | $2,511.89 | $12,022.64 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,318.26 Typical High $3,019.95 | Professional | None | $1,174.90 | $1,318.26 | $3,019.95 |
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 $575.44 Median $1,230.27 Typical High $1,412.54 | Professional | 52 · Reduced service | $575.44 | $1,230.27 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $489.78 Typical High $562.34 | Professional | 53 · Discontinued | $229.09 | $489.78 | $562.34 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $1,862.09 Typical High $2,089.30 | Professional | 54 · Surgery only | $870.96 | $1,862.09 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $371.54 Typical High $416.87 | Professional | 55 · Aftercare only | $173.78 | $371.54 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $245.47 Typical High $281.84 | Professional | 56 · Pre-op care only | $114.82 | $245.47 | $281.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $1,737.80 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $812.83 | $1,737.80 | $1,949.84 |
Where Mississippi sits
The same service costs 4.0 times more in Colorado 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
CO $14,661HI $3,664
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.