How much rates vary
Facilitymedian $2,399 · 10th to 90th $871 to $7,943Professionalmedian $1,072 · 10th to 90th $562 to $1,413
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 $575.44 Median $1,000.00 Typical High $1,995.26 | Facility | None | $575.44 | $1,000.00 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $1,230.27 Typical High $1,412.54 | Professional | None | $575.44 | $1,230.27 | $1,412.54 |
Ambetter Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
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 $467.74 Median $1,071.52 Typical High $1,148.15 | Professional | None | $467.74 | $1,071.52 | $1,148.15 |
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 $588.84 Median $660.69 Typical High $1,548.82 | Professional | None | $588.84 | $660.69 | $1,548.82 |
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 $288.40 Median $616.60 Typical High $707.95 | Professional | 52 · Reduced service | $288.40 | $616.60 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $251.19 Typical High $281.84 | Professional | 53 · Discontinued | $114.82 | $251.19 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $933.25 Typical High $1,047.13 | Professional | 54 · Surgery only | $436.52 | $933.25 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $186.21 Typical High $208.93 | Professional | 55 · Aftercare only | $87.10 | $186.21 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $123.03 Typical High $141.25 | Professional | 56 · Pre-op care only | $57.54 | $123.03 | $141.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $870.96 Typical High $977.24 | Professional | 78 · Unplanned return to OR | $407.38 | $870.96 | $977.24 |
Where Mississippi sits
The same service costs 7.6 times more in Oklahoma than in Texas. 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
OK $11,248TX $1,472
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.