How much rates vary
Facilitymedian $6,457 · 10th to 90th $1,000 to $16,596Professionalmedian $2,512 · 10th to 90th $1,349 to $3,388
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 $1,380.38 Median $2,951.21 Typical High $3,388.44 | Professional | None | $1,380.38 | $2,951.21 | $3,388.44 |
BCBS Mississippi Setting Facility Modifier None Typical Low $11,748.98 Median $11,748.98 Typical High $11,748.98 | Facility | None | $11,748.98 | $11,748.98 | $11,748.98 |
BCBS Mississippi Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | None | $3,311.31 | $3,311.31 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $8,128.31 Typical High $16,595.87 | Facility | None | $660.69 | $8,128.31 | $16,595.87 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $2,511.89 Typical High $2,691.53 | Professional | None | $1,122.02 | $2,511.89 | $2,691.53 |
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 $1,584.89 Median $6,456.54 Typical High $19,498.45 | Facility | None | $1,584.89 | $6,456.54 | $19,498.45 |
United Setting Professional Modifier None Typical Low $1,412.54 Median $1,698.24 Typical High $3,801.89 | Professional | None | $1,412.54 | $1,698.24 | $3,801.89 |
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 $691.83 Median $1,479.11 Typical High $1,659.59 | Professional | 52 · Reduced service | $691.83 | $1,479.11 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $588.84 Typical High $676.08 | Professional | 53 · Discontinued | $275.42 | $588.84 | $676.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $2,238.72 Typical High $2,511.89 | Professional | 54 · Surgery only | $1,047.13 | $2,238.72 | $2,511.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $446.68 Typical High $501.19 | Professional | 55 · Aftercare only | $208.93 | $446.68 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $295.12 Typical High $338.84 | Professional | 56 · Pre-op care only | $138.04 | $295.12 | $338.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $2,089.30 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $977.24 | $2,089.30 | $2,344.23 |
Where Mississippi sits
The same service costs 6.5 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 $24,363KY $3,770
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.