How much rates vary
Facilitymedian $224 · 10th to 90th $91 to $1,072Professionalmedian $437 · 10th to 90th $251 to $692
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 $257.04 Median $776.25 Typical High $1,995.26 | Facility | None | $257.04 | $776.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $616.60 Typical High $707.95 | Professional | None | $257.04 | $616.60 | $707.95 |
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 $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $138.04 Typical High $316.23 | Facility | None | $50.12 | $138.04 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $446.68 Typical High $537.03 | Professional | None | $251.19 | $446.68 | $537.03 |
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 $251.19 Median $288.40 Typical High $676.08 | Professional | None | $251.19 | $288.40 | $676.08 |
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 $125.89 Median $309.03 Typical High $354.81 | Professional | 52 · Reduced service | $125.89 | $309.03 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $123.03 Typical High $141.25 | Professional | 53 · Discontinued | $51.29 | $123.03 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $457.09 Typical High $537.03 | Professional | 54 · Surgery only | $190.55 | $457.09 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $93.33 Typical High $107.15 | Professional | 55 · Aftercare only | $38.02 | $93.33 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $61.66 Typical High $70.79 | Professional | 56 · Pre-op care only | $25.70 | $61.66 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $177.83 Median $426.58 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $177.83 | $426.58 | $501.19 |
Where Mississippi sits
The same service costs 6.7 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 $2,828FL $419
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.