How much rates vary
Facilitymedian $1,259 · 10th to 90th $708 to $4,467Professionalmedian $631 · 10th to 90th $355 to $1,175
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 $457.09 Median $776.25 Typical High $1,819.70 | Facility | None | $457.09 | $776.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $851.14 Typical High $1,096.48 | Professional | None | $346.74 | $851.14 | $1,096.48 |
Ambetter Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $724.44 | Professional | None | $691.83 | $691.83 | $724.44 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,202.26 Typical High $2,398.83 | Facility | None | $630.96 | $1,202.26 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $630.96 Typical High $870.96 | Professional | None | $380.19 | $630.96 | $870.96 |
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 $5,370.32 | Facility | None | $758.58 | $1,412.54 | $5,370.32 |
United Setting Professional Modifier None Typical Low $363.08 Median $478.63 Typical High $1,071.52 | Professional | None | $363.08 | $478.63 | $1,071.52 |
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 $173.78 Median $426.58 Typical High $549.54 | Professional | 52 · Reduced service | $173.78 | $426.58 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $169.82 Typical High $218.78 | Professional | 53 · Discontinued | $69.18 | $169.82 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $630.96 Typical High $831.76 | Professional | 54 · Surgery only | $263.03 | $630.96 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $125.89 Typical High $165.96 | Professional | 55 · Aftercare only | $52.48 | $125.89 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $85.11 Typical High $109.65 | Professional | 56 · Pre-op care only | $34.67 | $85.11 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $588.84 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $245.47 | $588.84 | $776.25 |
Where Mississippi sits
The same service costs 4.7 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 $6,464MT $1,390
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.