How much rates vary
Facilitymedian $813 · 10th to 90th $316 to $2,042Professionalmedian $617 · 10th to 90th $363 to $955
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 $398.11 Median $776.25 Typical High $1,819.70 | Facility | None | $398.11 | $776.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $851.14 Typical High $954.99 | Professional | None | $363.08 | $851.14 | $954.99 |
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 $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $891.25 Typical High $1,698.24 | Facility | None | $630.96 | $891.25 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $645.65 Typical High $724.44 | Professional | None | $363.08 | $645.65 | $724.44 |
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 $302.00 Median $660.69 Typical High $2,951.21 | Facility | None | $302.00 | $660.69 | $2,951.21 |
United Setting Professional Modifier None Typical Low $363.08 Median $398.11 Typical High $912.01 | Professional | None | $363.08 | $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 $181.97 Median $426.58 Typical High $478.63 | Professional | 52 · Reduced service | $181.97 | $426.58 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $169.82 Typical High $190.55 | Professional | 53 · Discontinued | $72.44 | $169.82 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $630.96 Typical High $724.44 | Professional | 54 · Surgery only | $275.42 | $630.96 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $128.82 Typical High $144.54 | Professional | 55 · Aftercare only | $54.95 | $128.82 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $85.11 Typical High $95.50 | Professional | 56 · Pre-op care only | $36.31 | $85.11 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $588.84 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $257.04 | $588.84 | $676.08 |
Where Mississippi sits
The same service costs 4.5 times more in Vermont than in Florida. 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
VT $4,521FL $1,007
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.