How much rates vary
Facilitymedian $2,239 · 10th to 90th $955 to $7,413Professionalmedian $871 · 10th to 90th $457 to $1,259
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 $524.81 Median $1,122.02 Typical High $1,258.93 | Professional | None | $524.81 | $1,122.02 | $1,258.93 |
Ambetter Setting Professional Modifier None Typical Low $616.60 Median $1,412.54 Typical High $1,412.54 | Professional | None | $616.60 | $1,412.54 | $1,412.54 |
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 $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,584.89 Typical High $3,162.28 | Facility | None | $794.33 | $1,584.89 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $870.96 Typical High $977.24 | Professional | None | $426.58 | $870.96 | $977.24 |
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 $8,709.64 | Facility | None | $1,380.38 | $3,311.31 | $8,709.64 |
United Setting Professional Modifier None Typical Low $457.09 Median $562.34 Typical High $1,318.26 | Professional | None | $457.09 | $562.34 | $1,318.26 |
7 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 $263.03 Median $562.34 Typical High $630.96 | Professional | 52 · Reduced service | $263.03 | $562.34 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $223.87 Typical High $251.19 | Professional | 53 · Discontinued | $104.71 | $223.87 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $831.76 Typical High $954.99 | Professional | 54 · Surgery only | $389.05 | $831.76 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $165.96 Typical High $190.55 | Professional | 55 · Aftercare only | $77.62 | $165.96 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $112.20 Typical High $125.89 | Professional | 56 · Pre-op care only | $52.48 | $112.20 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $776.25 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $363.08 | $776.25 | $891.25 |
Ambetter Setting Professional Modifier 79 · Unrelated procedure after surgery Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 79 · Unrelated procedure after surgery | $588.84 | $588.84 | $588.84 |
Where Mississippi sits
The same service costs 4.7 times more in Oklahoma 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
OK $8,820MT $1,888
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.