How much rates vary
Facilitymedian $1,445 · 10th to 90th $525 to $4,467Professionalmedian $427 · 10th to 90th $200 to $708
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 $416.87 Median $776.25 Typical High $1,819.70 | Facility | None | $416.87 | $776.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $524.81 Typical High $588.84 | Professional | None | $245.47 | $524.81 | $588.84 |
Ambetter Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
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 $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,548.82 Typical High $2,884.03 | Facility | None | $436.52 | $1,548.82 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $457.09 Typical High $512.86 | Professional | None | $257.04 | $457.09 | $512.86 |
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 $251.19 Median $295.12 Typical High $676.08 | Professional | None | $251.19 | $295.12 | $676.08 |
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 $123.03 Median $263.03 Typical High $295.12 | Professional | 52 · Reduced service | $123.03 | $263.03 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $104.71 Typical High $120.23 | Professional | 53 · Discontinued | $48.98 | $104.71 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $398.11 Typical High $446.68 | Professional | 54 · Surgery only | $186.21 | $398.11 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $79.43 Typical High $89.13 | Professional | 55 · Aftercare only | $37.15 | $79.43 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $52.48 Typical High $58.88 | Professional | 56 · Pre-op care only | $24.55 | $52.48 | $58.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $371.54 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $173.78 | $371.54 | $416.87 |
Where Mississippi sits
The same service costs 7.3 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 $6,269MT $863
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.