How much rates vary
Facilitymedian $2,399 · 10th to 90th $871 to $7,943Professionalmedian $1,413 · 10th to 90th $741 to $1,778
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 $741.31 Median $1,000.00 Typical High $1,995.26 | Facility | None | $741.31 | $1,000.00 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $1,584.89 Typical High $1,778.28 | Professional | None | $741.31 | $1,584.89 | $1,778.28 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,584.89 Typical High $2,630.27 | Facility | None | $660.69 | $1,584.89 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $1,412.54 Typical High $1,479.11 | Professional | None | $616.60 | $1,412.54 | $1,479.11 |
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 $9,332.54 | Facility | None | $1,380.38 | $3,311.31 | $9,332.54 |
United Setting Professional Modifier None Typical Low $776.25 Median $870.96 Typical High $2,089.30 | Professional | None | $776.25 | $870.96 | $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 $371.54 Median $794.33 Typical High $891.25 | Professional | 52 · Reduced service | $371.54 | $794.33 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $316.23 Typical High $363.08 | Professional | 53 · Discontinued | $147.91 | $316.23 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $1,202.26 Typical High $1,348.96 | Professional | 54 · Surgery only | $562.34 | $1,202.26 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $239.88 Typical High $269.15 | Professional | 55 · Aftercare only | $112.20 | $239.88 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $158.49 Typical High $177.83 | Professional | 56 · Pre-op care only | $74.13 | $158.49 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $1,122.02 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $524.81 | $1,122.02 | $1,258.93 |
Where Mississippi sits
The same service costs 5.0 times more in Alabama 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
AL $11,256KY $2,261
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.