How much rates vary
Facilitymedian $339 · 10th to 90th $102 to $1,072Professionalmedian $692 · 10th to 90th $417 to $1,072
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 $416.87 Median $776.25 Typical High $1,819.70 | Facility | None | $416.87 | $776.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $954.99 Typical High $1,096.48 | Professional | None | $416.87 | $954.99 | $1,096.48 |
BCBS Mississippi Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
BCBS Mississippi Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $154.88 Typical High $524.81 | Facility | None | $125.89 | $154.88 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $724.44 Typical High $831.76 | Professional | None | $416.87 | $724.44 | $831.76 |
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 $91.20 Median $316.23 Typical High $1,096.48 | Facility | None | $91.20 | $316.23 | $1,096.48 |
United Setting Professional Modifier None Typical Low $416.87 Median $457.09 Typical High $1,047.13 | Professional | None | $416.87 | $457.09 | $1,047.13 |
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 $208.93 Median $478.63 Typical High $549.54 | Professional | 52 · Reduced service | $208.93 | $478.63 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $190.55 Typical High $218.78 | Professional | 53 · Discontinued | $83.18 | $190.55 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $724.44 Typical High $812.83 | Professional | 54 · Surgery only | $309.03 | $724.44 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $144.54 Typical High $162.18 | Professional | 55 · Aftercare only | $63.10 | $144.54 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $95.50 Typical High $109.65 | Professional | 56 · Pre-op care only | $41.69 | $95.50 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $676.08 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $288.40 | $676.08 | $758.58 |
Where Mississippi sits
The same service costs 4.7 times more in New York 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
NY $3,038FL $649
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.