How much rates vary
Facilitymedian $1,413 · 10th to 90th $692 to $4,467Professionalmedian $468 · 10th to 90th $263 to $813
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 $338.84 Median $758.58 Typical High $1,819.70 | Facility | None | $338.84 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $562.34 Typical High $812.83 | Professional | None | $234.42 | $562.34 | $812.83 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
BCBS Mississippi Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,548.82 Typical High $3,019.95 | Facility | None | $630.96 | $1,548.82 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $467.74 Typical High $707.95 | Professional | None | $288.40 | $467.74 | $707.95 |
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 $758.58 Median $1,412.54 Typical High $6,025.60 | Facility | None | $758.58 | $1,412.54 | $6,025.60 |
United Setting Professional Modifier None Typical Low $269.15 Median $407.38 Typical High $831.76 | Professional | None | $269.15 | $407.38 | $831.76 |
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 $117.49 Median $281.84 Typical High $407.38 | Professional | 52 · Reduced service | $117.49 | $281.84 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $112.20 Typical High $162.18 | Professional | 53 · Discontinued | $46.77 | $112.20 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $426.58 Typical High $616.60 | Professional | 54 · Surgery only | $173.78 | $426.58 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $85.11 Typical High $123.03 | Professional | 55 · Aftercare only | $34.67 | $85.11 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $56.23 Typical High $81.28 | Professional | 56 · Pre-op care only | $23.44 | $56.23 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $398.11 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $162.18 | $398.11 | $575.44 |
Where Mississippi sits
The same service costs 6.1 times more in Colorado 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
CO $6,296MT $1,039
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.