How much rates vary
Facilitymedian $1,995 · 10th to 90th $851 to $8,913Professionalmedian $1,000 · 10th to 90th $562 to $1,413
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 $588.84 Median $1,258.93 Typical High $1,412.54 | Professional | None | $588.84 | $1,258.93 | $1,412.54 |
Ambetter Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
BCBS Mississippi Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Facility | None | $5,128.61 | $5,128.61 | $5,128.61 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $5,128.61 Typical High $8,128.31 | Facility | None | $794.33 | $5,128.61 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $977.24 Typical High $1,122.02 | Professional | None | $478.63 | $977.24 | $1,122.02 |
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 $977.24 Median $1,737.80 Typical High $9,549.93 | Facility | None | $977.24 | $1,737.80 | $9,549.93 |
United Setting Professional Modifier None Typical Low $588.84 Median $660.69 Typical High $1,479.11 | Professional | None | $588.84 | $660.69 | $1,479.11 |
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 $295.12 Median $630.96 Typical High $707.95 | Professional | 52 · Reduced service | $295.12 | $630.96 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $251.19 Typical High $281.84 | Professional | 53 · Discontinued | $117.49 | $251.19 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $933.25 Typical High $1,071.52 | Professional | 54 · Surgery only | $436.52 | $933.25 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $186.21 Typical High $213.80 | Professional | 55 · Aftercare only | $87.10 | $186.21 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $125.89 Typical High $141.25 | Professional | 56 · Pre-op care only | $58.88 | $125.89 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $870.96 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $407.38 | $870.96 | $1,000.00 |
Where Mississippi sits
The same service costs 5.4 times more in Alaska 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
AK $11,142MT $2,070
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.