How much rates vary
Facilitymedian $2,570 · 10th to 90th $776 to $9,333Professionalmedian $1,096 · 10th to 90th $589 to $1,479
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 $616.60 Median $1,318.26 Typical High $1,479.11 | Professional | None | $616.60 | $1,318.26 | $1,479.11 |
BCBS Mississippi Setting Facility Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $6,025.60 | Facility | None | $6,025.60 | $6,025.60 | $6,025.60 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $4,466.84 Typical High $7,079.46 | Facility | None | $660.69 | $4,466.84 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $1,096.48 Typical High $1,348.96 | Professional | None | $501.19 | $1,096.48 | $1,348.96 |
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 $1,122.02 Median $2,511.89 Typical High $12,022.64 | Facility | None | $1,122.02 | $2,511.89 | $12,022.64 |
United Setting Professional Modifier None Typical Low $616.60 Median $707.95 Typical High $1,778.28 | Professional | None | $616.60 | $707.95 | $1,778.28 |
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 $302.00 Median $660.69 Typical High $741.31 | Professional | 52 · Reduced service | $302.00 | $660.69 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $263.03 Typical High $295.12 | Professional | 53 · Discontinued | $123.03 | $263.03 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $977.24 Typical High $1,096.48 | Professional | 54 · Surgery only | $457.09 | $977.24 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $194.98 Typical High $223.87 | Professional | 55 · Aftercare only | $91.20 | $194.98 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $131.83 Typical High $147.91 | Professional | 56 · Pre-op care only | $61.66 | $131.83 | $147.91 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $912.01 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $426.58 | $912.01 | $1,023.29 |
Where Mississippi sits
The same service costs 6.4 times more in Colorado 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
CO $13,837MT $2,168
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.