How much rates vary
Facilitymedian $2,692 · 10th to 90th $955 to $9,333Professionalmedian $1,349 · 10th to 90th $724 to $1,820
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 $741.31 Median $1,584.89 Typical High $1,819.70 | Professional | None | $741.31 | $1,584.89 | $1,819.70 |
BCBS Mississippi Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $4,466.84 Typical High $7,079.46 | Facility | None | $794.33 | $4,466.84 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $1,348.96 Typical High $1,412.54 | Professional | None | $616.60 | $1,348.96 | $1,412.54 |
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 $1,122.02 Median $2,511.89 Typical High $12,022.64 | Facility | None | $1,122.02 | $2,511.89 | $12,022.64 |
United Setting Professional Modifier None Typical Low $758.58 Median $851.14 Typical High $1,905.46 | Professional | None | $758.58 | $851.14 | $1,905.46 |
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 $371.54 Median $794.33 Typical High $912.01 | Professional | 52 · Reduced service | $371.54 | $794.33 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $323.59 Typical High $363.08 | Professional | 53 · Discontinued | $151.36 | $323.59 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $1,202.26 Typical High $1,348.96 | Professional | 54 · Surgery only | $562.34 | $1,202.26 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $239.88 Typical High $269.15 | Professional | 55 · Aftercare only | $112.20 | $239.88 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $158.49 Typical High $181.97 | Professional | 56 · Pre-op care only | $74.13 | $158.49 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $1,122.02 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $524.81 | $1,122.02 | $1,258.93 |
Where Mississippi sits
The same service costs 5.3 times more in Colorado 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
CO $14,031MT $2,667
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.