How much rates vary
Facilitymedian $1,514 · 10th to 90th $708 to $4,467Professionalmedian $603 · 10th to 90th $302 to $851
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 $630.96 Median $851.14 Typical High $1,995.26 | Facility | None | $630.96 | $851.14 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $676.08 Typical High $758.58 | Professional | None | $316.23 | $676.08 | $758.58 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
BCBS Mississippi Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,584.89 Typical High $2,884.03 | Facility | None | $660.69 | $1,584.89 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $588.84 Typical High $794.33 | Professional | None | $323.59 | $588.84 | $794.33 |
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 $758.58 Median $1,412.54 Typical High $6,025.60 | Facility | None | $758.58 | $1,412.54 | $6,025.60 |
United Setting Professional Modifier None Typical Low $309.03 Median $363.08 Typical High $851.14 | Professional | None | $309.03 | $363.08 | $851.14 |
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 $154.88 Median $331.13 Typical High $380.19 | Professional | 52 · Reduced service | $154.88 | $331.13 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $134.90 Typical High $151.36 | Professional | 53 · Discontinued | $63.10 | $134.90 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $501.19 Typical High $562.34 | Professional | 54 · Surgery only | $234.42 | $501.19 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $100.00 Typical High $114.82 | Professional | 55 · Aftercare only | $46.77 | $100.00 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $67.61 Typical High $75.86 | Professional | 56 · Pre-op care only | $31.62 | $67.61 | $75.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $467.74 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $218.78 | $467.74 | $524.81 |
Where Mississippi sits
The same service costs 6.0 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 $6,645MT $1,112
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.