How much rates vary
Facilitymedian $832 · 10th to 90th $457 to $2,630Professionalmedian $617 · 10th to 90th $347 to $891
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 $416.87 Median $891.25 Typical High $1,819.70 | Facility | None | $416.87 | $891.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $794.33 Typical High $891.25 | Professional | None | $371.54 | $794.33 | $891.25 |
BCBS Mississippi Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
BCBS Mississippi Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $831.76 Typical High $1,698.24 | Facility | None | $436.52 | $831.76 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $616.60 Typical High $691.83 | Professional | None | $302.00 | $616.60 | $691.83 |
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 $467.74 Median $758.58 Typical High $3,090.30 | Facility | None | $467.74 | $758.58 | $3,090.30 |
United Setting Professional Modifier None Typical Low $346.74 Median $398.11 Typical High $912.01 | Professional | None | $346.74 | $398.11 | $912.01 |
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 $186.21 Median $398.11 Typical High $446.68 | Professional | 52 · Reduced service | $186.21 | $398.11 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $158.49 Typical High $177.83 | Professional | 53 · Discontinued | $74.13 | $158.49 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $588.84 Typical High $676.08 | Professional | 54 · Surgery only | $275.42 | $588.84 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $117.49 Typical High $134.90 | Professional | 55 · Aftercare only | $54.95 | $117.49 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $79.43 Typical High $89.13 | Professional | 56 · Pre-op care only | $37.15 | $79.43 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $549.54 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $257.04 | $549.54 | $630.96 |
Where Mississippi sits
The same service costs 5.5 times more in Colorado than in Vermont. 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 $4,941VT $892
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.