How much rates vary
Facilitymedian $1,413 · 10th to 90th $708 to $4,467Professionalmedian $646 · 10th to 90th $347 to $1,202
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 $758.58 Typical High $1,819.70 | Facility | None | $457.09 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $741.31 Typical High $1,096.48 | Professional | None | $309.03 | $741.31 | $1,096.48 |
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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,548.82 Typical High $2,884.03 | Facility | None | $630.96 | $1,548.82 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $645.65 Typical High $1,000.00 | Professional | None | $389.05 | $645.65 | $1,000.00 |
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 $363.08 Median $575.44 Typical High $1,096.48 | Professional | None | $363.08 | $575.44 | $1,096.48 |
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 $154.88 Median $371.54 Typical High $549.54 | Professional | 52 · Reduced service | $154.88 | $371.54 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $147.91 Typical High $218.78 | Professional | 53 · Discontinued | $61.66 | $147.91 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $562.34 Typical High $831.76 | Professional | 54 · Surgery only | $229.09 | $562.34 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $112.20 Typical High $165.96 | Professional | 55 · Aftercare only | $45.71 | $112.20 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $74.13 Typical High $109.65 | Professional | 56 · Pre-op care only | $30.90 | $74.13 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $524.81 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $213.80 | $524.81 | $776.25 |
Where Mississippi sits
The same service costs 4.4 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 $6,451MT $1,460
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.