How much rates vary
Facilitymedian $3,311 · 10th to 90th $871 to $15,849Professionalmedian $1,622 · 10th to 90th $891 to $2,239
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 $707.95 Median $912.01 Typical High $2,238.72 | Facility | None | $707.95 | $912.01 | $2,238.72 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,949.84 Typical High $2,238.72 | Professional | None | $912.01 | $1,949.84 | $2,238.72 |
BCBS Mississippi Setting Facility Modifier None Typical Low $11,220.18 Median $11,220.18 Typical High $11,220.18 | Facility | None | $11,220.18 | $11,220.18 | $11,220.18 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $8,511.38 Typical High $13,489.63 | Facility | None | $660.69 | $8,511.38 | $13,489.63 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $1,584.89 Typical High $1,778.28 | Professional | None | $741.31 | $1,584.89 | $1,778.28 |
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 $912.01 Median $1,023.29 Typical High $2,398.83 | Professional | None | $912.01 | $1,023.29 | $2,398.83 |
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 $457.09 Median $977.24 Typical High $1,096.48 | Professional | 52 · Reduced service | $457.09 | $977.24 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $389.05 Typical High $446.68 | Professional | 53 · Discontinued | $181.97 | $389.05 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $1,479.11 Typical High $1,659.59 | Professional | 54 · Surgery only | $691.83 | $1,479.11 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $295.12 Typical High $331.13 | Professional | 55 · Aftercare only | $138.04 | $295.12 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $194.98 Typical High $223.87 | Professional | 56 · Pre-op care only | $91.20 | $194.98 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $1,380.38 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $645.65 | $1,380.38 | $1,548.82 |
Where Mississippi sits
The same service costs 7.2 times more in Alaska 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
AK $19,657HI $2,734
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.