How much rates vary
Facilitymedian $1,820 · 10th to 90th $759 to $3,890Professionalmedian $603 · 10th to 90th $339 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 $467.74 Median $794.33 Typical High $1,995.26 | Facility | None | $467.74 | $794.33 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $794.33 Typical High $1,148.15 | Professional | None | $323.59 | $794.33 | $1,148.15 |
Ambetter Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
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 $660.69 Median $1,584.89 Typical High $2,884.03 | Facility | None | $660.69 | $1,584.89 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $602.56 Typical High $891.25 | Professional | None | $398.11 | $602.56 | $891.25 |
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 $338.84 Median $512.86 Typical High $1,047.13 | Professional | None | $338.84 | $512.86 | $1,047.13 |
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 $162.18 Median $398.11 Typical High $575.44 | Professional | 52 · Reduced service | $162.18 | $398.11 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $158.49 Typical High $229.09 | Professional | 53 · Discontinued | $64.57 | $158.49 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $588.84 Typical High $851.14 | Professional | 54 · Surgery only | $245.47 | $588.84 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $117.49 Typical High $169.82 | Professional | 55 · Aftercare only | $48.98 | $117.49 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $79.43 Typical High $114.82 | Professional | 56 · Pre-op care only | $32.36 | $79.43 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $549.54 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $229.09 | $549.54 | $794.33 |
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 $6,438MT $1,383
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.