How much rates vary
Facilitymedian $3,311 · 10th to 90th $851 to $10,000Professionalmedian $1,318 · 10th to 90th $759 to $1,905
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 $707.95 Median $891.25 Typical High $1,995.26 | Facility | None | $707.95 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $1,659.59 Typical High $1,905.46 | Professional | None | $776.25 | $1,659.59 | $1,905.46 |
Ambetter Setting Professional Modifier None Typical Low $112.20 Median $831.76 Typical High $1,621.81 | Professional | None | $112.20 | $831.76 | $1,621.81 |
BCBS Mississippi Setting Facility Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Facility | None | $5,248.07 | $5,248.07 | $5,248.07 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $4,570.88 Typical High $7,413.10 | Facility | None | $660.69 | $4,570.88 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $1,348.96 Typical High $1,513.56 | Professional | None | $645.65 | $1,348.96 | $1,513.56 |
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 $12,589.25 | Facility | None | $1,380.38 | $3,311.31 | $12,589.25 |
United Setting Professional Modifier None Typical Low $776.25 Median $870.96 Typical High $1,949.84 | Professional | None | $776.25 | $870.96 | $1,949.84 |
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 $389.05 Median $831.76 Typical High $933.25 | Professional | 52 · Reduced service | $389.05 | $831.76 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $331.13 Typical High $380.19 | Professional | 53 · Discontinued | $154.88 | $331.13 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $1,258.93 Typical High $1,412.54 | Professional | 54 · Surgery only | $588.84 | $1,258.93 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $251.19 Typical High $281.84 | Professional | 55 · Aftercare only | $117.49 | $251.19 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $165.96 Typical High $190.55 | Professional | 56 · Pre-op care only | $77.62 | $165.96 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $1,174.90 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $549.54 | $1,174.90 | $1,318.26 |
Where Mississippi sits
The same service costs 5.5 times more in Colorado 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
CO $14,085HI $2,567
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.