How much rates vary
Facilitymedian $3,311 · 10th to 90th $891 to $10,000Professionalmedian $2,089 · 10th to 90th $1,230 to $4,467
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 $776.25 Median $1,174.90 Typical High $2,884.03 | Facility | None | $776.25 | $1,174.90 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $3,981.07 Typical High $4,466.84 | Professional | None | $1,819.70 | $3,981.07 | $4,466.84 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $3,467.37 Typical High $5,495.41 | Facility | None | $660.69 | $3,467.37 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $3,162.28 Typical High $3,467.37 | Professional | None | $1,479.11 | $3,162.28 | $3,467.37 |
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 $13,182.57 | Facility | None | $1,380.38 | $3,311.31 | $13,182.57 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,949.84 Typical High $4,570.88 | Professional | None | $1,174.90 | $1,949.84 | $4,570.88 |
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 $912.01 Median $1,995.26 Typical High $2,238.72 | Professional | 52 · Reduced service | $912.01 | $1,995.26 | $2,238.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $794.33 Typical High $891.25 | Professional | 53 · Discontinued | $371.54 | $794.33 | $891.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,380.38 Median $2,951.21 Typical High $3,311.31 | Professional | 54 · Surgery only | $1,380.38 | $2,951.21 | $3,311.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $588.84 Typical High $676.08 | Professional | 55 · Aftercare only | $275.42 | $588.84 | $676.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $398.11 Typical High $446.68 | Professional | 56 · Pre-op care only | $186.21 | $398.11 | $446.68 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $2,754.23 Typical High $3,090.30 | Professional | 78 · Unplanned return to OR | $1,288.25 | $2,754.23 | $3,090.30 |
Where Mississippi sits
The same service costs 4.9 times more in Alaska than in Kentucky. 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 $18,090KY $3,723
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.