How much rates vary
Facilitymedian $1,660 · 10th to 90th $759 to $5,623Professionalmedian $1,413 · 10th to 90th $794 to $1,995
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 $707.95 Median $891.25 Typical High $1,995.26 | Facility | None | $707.95 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $1,737.80 Typical High $1,995.26 | Professional | None | $812.83 | $1,737.80 | $1,995.26 |
BCBS Mississippi 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 Mississippi Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
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 $676.08 Median $1,412.54 Typical High $1,548.82 | Professional | None | $676.08 | $1,412.54 | $1,548.82 |
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 $794.33 Median $891.25 Typical High $1,995.26 | Professional | None | $794.33 | $891.25 | $1,995.26 |
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 $407.38 Median $870.96 Typical High $977.24 | Professional | 52 · Reduced service | $407.38 | $870.96 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $346.74 Typical High $398.11 | Professional | 53 · Discontinued | $162.18 | $346.74 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $1,318.26 Typical High $1,479.11 | Professional | 54 · Surgery only | $616.60 | $1,318.26 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $263.03 Typical High $295.12 | Professional | 55 · Aftercare only | $123.03 | $263.03 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $173.78 Typical High $199.53 | Professional | 56 · Pre-op care only | $81.28 | $173.78 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $1,230.27 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $575.44 | $1,230.27 | $1,380.38 |
Where Mississippi sits
The same service costs 3.1 times more in Alaska than in Hawaii. 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
AK $8,167HI $2,648
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.