How much rates vary
Facilitymedian $3,311 · 10th to 90th $955 to $10,233Professionalmedian $1,175 · 10th to 90th $646 to $1,585
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 $758.58 Median $1,047.13 Typical High $1,995.26 | Facility | None | $758.58 | $1,047.13 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $1,412.54 Typical High $1,584.89 | Professional | None | $660.69 | $1,412.54 | $1,584.89 |
BCBS Mississippi Setting Facility Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Facility | None | $5,754.40 | $5,754.40 | $5,754.40 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $4,897.79 Typical High $10,000.00 | Facility | None | $794.33 | $4,897.79 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $1,174.90 Typical High $1,288.25 | Professional | None | $537.03 | $1,174.90 | $1,288.25 |
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 $1,380.38 Median $3,311.31 Typical High $12,589.25 | Facility | None | $1,380.38 | $3,311.31 | $12,589.25 |
United Setting Professional Modifier None Typical Low $660.69 Median $758.58 Typical High $1,698.24 | Professional | None | $660.69 | $758.58 | $1,698.24 |
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 $331.13 Median $707.95 Typical High $794.33 | Professional | 52 · Reduced service | $331.13 | $707.95 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $281.84 Typical High $323.59 | Professional | 53 · Discontinued | $131.83 | $281.84 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $1,071.52 Typical High $1,202.26 | Professional | 54 · Surgery only | $501.19 | $1,071.52 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $213.80 Typical High $239.88 | Professional | 55 · Aftercare only | $100.00 | $213.80 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $141.25 Typical High $158.49 | Professional | 56 · Pre-op care only | $66.07 | $141.25 | $158.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $1,000.00 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $467.74 | $1,000.00 | $1,122.02 |
Where Mississippi sits
The same service costs 6.2 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 $14,513MT $2,350
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.