How much rates vary
Facilitymedian $3,311 · 10th to 90th $891 to $10,471Professionalmedian $1,778 · 10th to 90th $1,000 to $2,455
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 $1,096.48 Typical High $2,818.38 | Facility | None | $776.25 | $1,096.48 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $2,187.76 Typical High $2,454.71 | Professional | None | $1,023.29 | $2,187.76 | $2,454.71 |
Ambetter Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $4,677.35 Typical High $7,413.10 | Facility | None | $660.69 | $4,677.35 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,778.28 Typical High $1,949.84 | Professional | None | $831.76 | $1,778.28 | $1,949.84 |
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 $1,023.29 Median $1,148.15 Typical High $2,630.27 | Professional | None | $1,023.29 | $1,148.15 | $2,630.27 |
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 $512.86 Median $1,096.48 Typical High $1,230.27 | Professional | 52 · Reduced service | $512.86 | $1,096.48 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $436.52 Typical High $489.78 | Professional | 53 · Discontinued | $204.17 | $436.52 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $1,621.81 Typical High $1,862.09 | Professional | 54 · Surgery only | $758.58 | $1,621.81 | $1,862.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $323.59 Typical High $371.54 | Professional | 55 · Aftercare only | $151.36 | $323.59 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $218.78 Typical High $245.47 | Professional | 56 · Pre-op care only | $102.33 | $218.78 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $1,513.56 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $707.95 | $1,513.56 | $1,737.80 |
Where Mississippi sits
The same service costs 5.1 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 $14,343KY $2,808
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.