How much rates vary
Facilitymedian $2,692 · 10th to 90th $933 to $9,333Professionalmedian $2,570 · 10th to 90th $1,445 to $3,631
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 $1,479.11 Median $3,162.28 Typical High $3,630.78 | Professional | None | $1,479.11 | $3,162.28 | $3,630.78 |
BCBS Mississippi Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None | $3,019.95 | $3,019.95 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $4,570.88 Typical High $7,413.10 | Facility | None | $660.69 | $4,570.88 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $2,570.40 Typical High $2,884.03 | Professional | None | $1,202.26 | $2,570.40 | $2,884.03 |
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 $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 $1,513.56 Median $1,659.59 Typical High $3,890.45 | Professional | None | $1,513.56 | $1,659.59 | $3,890.45 |
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 $741.31 Median $1,584.89 Typical High $1,778.28 | Professional | 52 · Reduced service | $741.31 | $1,584.89 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $630.96 Typical High $724.44 | Professional | 53 · Discontinued | $295.12 | $630.96 | $724.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $2,398.83 Typical High $2,691.53 | Professional | 54 · Surgery only | $1,122.02 | $2,398.83 | $2,691.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $478.63 Typical High $537.03 | Professional | 55 · Aftercare only | $223.87 | $478.63 | $537.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $316.23 Typical High $363.08 | Professional | 56 · Pre-op care only | $147.91 | $316.23 | $363.08 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $2,238.72 Typical High $2,511.89 | Professional | 78 · Unplanned return to OR | $1,047.13 | $2,238.72 | $2,511.89 |
Where Mississippi sits
The same service costs 4.7 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 $16,761KY $3,604
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.