How much rates vary
Facilitymedian $1,622 · 10th to 90th $759 to $5,623Professionalmedian $891 · 10th to 90th $490 to $1,230
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 $630.96 Median $891.25 Typical High $1,995.26 | Facility | None | $630.96 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $1,096.48 Typical High $1,230.27 | Professional | None | $512.86 | $1,096.48 | $1,230.27 |
BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
BCBS Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,584.89 Typical High $3,162.28 | Facility | None | $660.69 | $1,584.89 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $891.25 Typical High $1,122.02 | Professional | None | $416.87 | $891.25 | $1,122.02 |
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 $977.24 Median $1,737.80 Typical High $6,606.93 | Facility | None | $977.24 | $1,737.80 | $6,606.93 |
United Setting Professional Modifier None Typical Low $501.19 Median $588.84 Typical High $1,445.44 | Professional | None | $501.19 | $588.84 | $1,445.44 |
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 $251.19 Median $537.03 Typical High $616.60 | Professional | 52 · Reduced service | $251.19 | $537.03 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $218.78 Typical High $245.47 | Professional | 53 · Discontinued | $102.33 | $218.78 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $812.83 Typical High $912.01 | Professional | 54 · Surgery only | $380.19 | $812.83 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $162.18 Typical High $181.97 | Professional | 55 · Aftercare only | $75.86 | $162.18 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $109.65 Typical High $123.03 | Professional | 56 · Pre-op care only | $51.29 | $109.65 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $758.58 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $354.81 | $758.58 | $851.14 |
Where Mississippi sits
The same service costs 4.1 times more in Oklahoma than in Montana. 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
OK $7,594MT $1,845
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.