How much rates vary
Facilitymedian $871 · 10th to 90th $490 to $2,692Professionalmedian $1,230 · 10th to 90th $661 to $1,698
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 $616.60 Median $891.25 Typical High $1,819.70 | Facility | None | $616.60 | $891.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $1,445.44 Typical High $1,659.59 | Professional | None | $676.08 | $1,445.44 | $1,659.59 |
BCBS Mississippi Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $891.25 Typical High $1,698.24 | Facility | None | $630.96 | $891.25 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $1,230.27 Typical High $1,318.26 | Professional | None | $549.54 | $1,230.27 | $1,318.26 |
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 $467.74 Median $812.83 Typical High $3,090.30 | Facility | None | $467.74 | $812.83 | $3,090.30 |
United Setting Professional Modifier None Typical Low $691.83 Median $794.33 Typical High $1,819.70 | Professional | None | $691.83 | $794.33 | $1,819.70 |
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 $338.84 Median $724.44 Typical High $831.76 | Professional | 52 · Reduced service | $338.84 | $724.44 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $295.12 Typical High $331.13 | Professional | 53 · Discontinued | $138.04 | $295.12 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $1,096.48 Typical High $1,230.27 | Professional | 54 · Surgery only | $512.86 | $1,096.48 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $218.78 Typical High $245.47 | Professional | 55 · Aftercare only | $102.33 | $218.78 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $144.54 Typical High $165.96 | Professional | 56 · Pre-op care only | $67.61 | $144.54 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $1,023.29 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $478.63 | $1,023.29 | $1,148.15 |
Where Mississippi sits
The same service costs 3.6 times more in Alaska than in Alabama. 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 $5,545AL $1,558
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.