How much rates vary
Facilitymedian $3,311 · 10th to 90th $871 to $15,849Professionalmedian $1,698 · 10th to 90th $933 to $2,344
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 $776.25 Median $1,047.13 Typical High $1,995.26 | Facility | None | $776.25 | $1,047.13 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $2,041.74 Typical High $2,344.23 | Professional | None | $954.99 | $2,041.74 | $2,344.23 |
Ambetter Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $8,912.51 Typical High $14,125.38 | Facility | None | $660.69 | $8,912.51 | $14,125.38 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,659.59 Typical High $1,819.70 | Professional | None | $794.33 | $1,659.59 | $1,819.70 |
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 $1,380.38 Median $3,311.31 Typical High $16,218.10 | Facility | None | $1,380.38 | $3,311.31 | $16,218.10 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,096.48 Typical High $2,511.89 | Professional | None | $977.24 | $1,096.48 | $2,511.89 |
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 $478.63 Median $1,023.29 Typical High $1,174.90 | Professional | 52 · Reduced service | $478.63 | $1,023.29 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $416.87 Typical High $467.74 | Professional | 53 · Discontinued | $194.98 | $416.87 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $1,548.82 Typical High $1,737.80 | Professional | 54 · Surgery only | $724.44 | $1,548.82 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $309.03 Typical High $346.74 | Professional | 55 · Aftercare only | $144.54 | $309.03 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $204.17 Typical High $234.42 | Professional | 56 · Pre-op care only | $95.50 | $204.17 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $1,445.44 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $676.08 | $1,445.44 | $1,621.81 |
Where Mississippi sits
The same service costs 6.0 times more in Alaska than in Kentucky. 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 $15,585KY $2,601
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.