How much rates vary
Facilitymedian $537 · 10th to 90th $102 to $1,905Professionalmedian $631 · 10th to 90th $363 to $977
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 $389.05 Median $912.01 Typical High $1,023.29 | Professional | None | $389.05 | $912.01 | $1,023.29 |
BCBS Mississippi Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
BCBS Mississippi Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $831.76 Typical High $1,698.24 | Facility | None | $436.52 | $831.76 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $630.96 Typical High $776.25 | Professional | None | $380.19 | $630.96 | $776.25 |
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 $363.08 Typical High $2,041.74 | Facility | None | $91.20 | $363.08 | $2,041.74 |
United Setting Professional Modifier None Typical Low $363.08 Median $426.58 Typical High $954.99 | Professional | None | $363.08 | $426.58 | $954.99 |
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 $194.98 Median $457.09 Typical High $512.86 | Professional | 52 · Reduced service | $194.98 | $457.09 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $181.97 Typical High $204.17 | Professional | 53 · Discontinued | $77.62 | $181.97 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $676.08 Typical High $776.25 | Professional | 54 · Surgery only | $288.40 | $676.08 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $134.90 Typical High $154.88 | Professional | 55 · Aftercare only | $57.54 | $134.90 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $91.20 Typical High $102.33 | Professional | 56 · Pre-op care only | $38.90 | $91.20 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $630.96 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $269.15 | $630.96 | $724.44 |
Where Mississippi sits
The same service costs 5.3 times more in Colorado 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
CO $4,377FL $831
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.