How much rates vary
Facilitymedian $871 · 10th to 90th $490 to $2,692Professionalmedian $759 · 10th to 90th $447 to $1,259
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 $501.19 Median $776.25 Typical High $1,819.70 | Facility | None | $501.19 | $776.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $1,071.52 Typical High $1,202.26 | Professional | None | $446.68 | $1,071.52 | $1,202.26 |
BCBS Mississippi Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $891.25 Typical High $1,698.24 | Facility | None | $630.96 | $891.25 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $812.83 Typical High $933.25 | Professional | None | $457.09 | $812.83 | $933.25 |
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 $467.74 Median $812.83 Typical High $3,090.30 | Facility | None | $467.74 | $812.83 | $3,090.30 |
United Setting Professional Modifier None Typical Low $457.09 Median $512.86 Typical High $1,202.26 | Professional | None | $457.09 | $512.86 | $1,202.26 |
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 $223.87 Median $537.03 Typical High $602.56 | Professional | 52 · Reduced service | $223.87 | $537.03 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $213.80 Typical High $239.88 | Professional | 53 · Discontinued | $91.20 | $213.80 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $794.33 Typical High $912.01 | Professional | 54 · Surgery only | $338.84 | $794.33 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $158.49 Typical High $181.97 | Professional | 55 · Aftercare only | $67.61 | $158.49 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $107.15 Typical High $120.23 | Professional | 56 · Pre-op care only | $44.67 | $107.15 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $741.31 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $316.23 | $741.31 | $851.14 |
Where Mississippi sits
The same service costs 4.0 times more in Colorado than in Alabama. 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 $5,057AL $1,277
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.