How much rates vary
Facilitymedian $6,457 · 10th to 90th $1,047 to $19,498Professionalmedian $2,884 · 10th to 90th $1,549 to $3,890
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 $1,513.56 Typical High $3,890.45 | Facility | None | $776.25 | $1,513.56 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $3,388.44 Typical High $3,890.45 | Professional | None | $1,584.89 | $3,388.44 | $3,890.45 |
BCBS Mississippi Setting Facility Modifier None Typical Low $15,488.17 Median $15,488.17 Typical High $15,488.17 | Facility | None | $15,488.17 | $15,488.17 | $15,488.17 |
BCBS Mississippi Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,801.89 | $3,801.89 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $11,220.18 Typical High $18,197.01 | Facility | None | $660.69 | $11,220.18 | $18,197.01 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $2,951.21 Typical High $3,090.30 | Professional | None | $1,288.25 | $2,951.21 | $3,090.30 |
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 $21,877.62 | Facility | None | $1,584.89 | $6,456.54 | $21,877.62 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $1,949.84 Typical High $4,365.16 | Professional | None | $1,621.81 | $1,949.84 | $4,365.16 |
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 $794.33 Median $1,698.24 Typical High $1,905.46 | Professional | 52 · Reduced service | $794.33 | $1,698.24 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $676.08 Typical High $776.25 | Professional | 53 · Discontinued | $316.23 | $676.08 | $776.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,202.26 Median $2,570.40 Typical High $2,884.03 | Professional | 54 · Surgery only | $1,202.26 | $2,570.40 | $2,884.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $512.86 Typical High $575.44 | Professional | 55 · Aftercare only | $239.88 | $512.86 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $338.84 Typical High $389.05 | Professional | 56 · Pre-op care only | $158.49 | $338.84 | $389.05 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,122.02 Median $2,398.83 Typical High $2,691.53 | Professional | 78 · Unplanned return to OR | $1,122.02 | $2,398.83 | $2,691.53 |
Where Mississippi sits
The same service costs 7.8 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 $31,233KY $3,989
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.