How much rates vary
Facilitymedian $1,175 · 10th to 90th $490 to $3,090Professionalmedian $1,862 · 10th to 90th $1,047 to $3,090
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 $1,148.15 Typical High $2,570.40 | Facility | None | $707.95 | $1,148.15 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $2,754.23 Typical High $3,090.30 | Professional | None | $1,174.90 | $2,754.23 | $3,090.30 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,202.26 Typical High $2,398.83 | Facility | None | $660.69 | $1,202.26 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $2,041.74 Typical High $2,290.87 | Professional | None | $1,047.13 | $2,041.74 | $2,290.87 |
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 $467.74 Median $758.58 Typical High $4,897.79 | Facility | None | $467.74 | $758.58 | $4,897.79 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,288.25 Typical High $3,019.95 | Professional | None | $977.24 | $1,288.25 | $3,019.95 |
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 $616.60 Median $1,380.38 Typical High $1,548.82 | Professional | 52 · Reduced service | $616.60 | $1,380.38 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $549.54 Typical High $616.60 | Professional | 53 · Discontinued | $245.47 | $549.54 | $616.60 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $933.25 Median $2,041.74 Typical High $2,344.23 | Professional | 54 · Surgery only | $933.25 | $2,041.74 | $2,344.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $407.38 Typical High $467.74 | Professional | 55 · Aftercare only | $186.21 | $407.38 | $467.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $275.42 Typical High $309.03 | Professional | 56 · Pre-op care only | $123.03 | $275.42 | $309.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $1,905.46 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $870.96 | $1,905.46 | $2,187.76 |
Where Mississippi sits
The same service costs 3.7 times more in Alaska than in Delaware. 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 $8,917DE $2,410
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.