How much rates vary
Facilitymedian $1,862 · 10th to 90th $741 to $13,183Professionalmedian $1,549 · 10th to 90th $912 to $2,512
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 $1,023.29 Typical High $1,995.26 | Facility | None | $616.60 | $1,023.29 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $2,187.76 Typical High $2,511.89 | Professional | None | $1,023.29 | $2,187.76 | $2,511.89 |
Ambetter Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $1,548.82 | Professional | None | $208.93 | $208.93 | $1,548.82 |
BCBS Mississippi Setting Facility Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $7,413.10 | Facility | None | $7,413.10 | $7,413.10 | $7,413.10 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $8,317.64 Typical High $13,182.57 | Facility | None | $630.96 | $8,317.64 | $13,182.57 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,819.70 Typical High $1,995.26 | Professional | None | $831.76 | $1,819.70 | $1,995.26 |
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 $977.24 Median $1,737.80 Typical High $16,218.10 | Facility | None | $977.24 | $1,737.80 | $16,218.10 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,122.02 Typical High $2,754.23 | Professional | None | $912.01 | $1,122.02 | $2,754.23 |
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 $512.86 Median $1,096.48 Typical High $1,258.93 | Professional | 52 · Reduced service | $512.86 | $1,096.48 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $436.52 Typical High $501.19 | Professional | 53 · Discontinued | $204.17 | $436.52 | $501.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $1,659.59 Typical High $1,862.09 | Professional | 54 · Surgery only | $776.25 | $1,659.59 | $1,862.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $331.13 Typical High $371.54 | Professional | 55 · Aftercare only | $154.88 | $331.13 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $218.78 Typical High $251.19 | Professional | 56 · Pre-op care only | $102.33 | $218.78 | $251.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $1,548.82 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $724.44 | $1,548.82 | $1,737.80 |
Where Mississippi sits
The same service costs 6.9 times more in Alaska than in Hawaii. 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 $18,481HI $2,671
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.