How much rates vary
Facilitymedian $3,311 · 10th to 90th $955 to $15,849Professionalmedian $1,380 · 10th to 90th $794 to $2,042
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 $812.83 Median $1,737.80 Typical High $1,949.84 | Professional | None | $812.83 | $1,737.80 | $1,949.84 |
BCBS Mississippi Setting Facility Modifier None Typical Low $11,220.18 Median $11,220.18 Typical High $11,220.18 | Facility | None | $11,220.18 | $11,220.18 | $11,220.18 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $8,317.64 Typical High $13,182.57 | Facility | None | $794.33 | $8,317.64 | $13,182.57 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $1,380.38 Typical High $1,548.82 | Professional | None | $660.69 | $1,380.38 | $1,548.82 |
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 $812.83 Median $912.01 Typical High $2,089.30 | Professional | None | $812.83 | $912.01 | $2,089.30 |
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 $407.38 Median $870.96 Typical High $977.24 | Professional | 52 · Reduced service | $407.38 | $870.96 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $346.74 Typical High $389.05 | Professional | 53 · Discontinued | $162.18 | $346.74 | $389.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $1,288.25 Typical High $1,479.11 | Professional | 54 · Surgery only | $602.56 | $1,288.25 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $257.04 Typical High $295.12 | Professional | 55 · Aftercare only | $120.23 | $257.04 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $173.78 Typical High $194.98 | Professional | 56 · Pre-op care only | $81.28 | $173.78 | $194.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $1,202.26 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $562.34 | $1,202.26 | $1,380.38 |
Where Mississippi sits
The same service costs 6.8 times more in Alaska 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
AK $19,480MT $2,858
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.