How much rates vary
Facilitymedian $1,778 · 10th to 90th $759 to $7,079Professionalmedian $676 · 10th to 90th $372 to $1,230
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 $524.81 Median $891.25 Typical High $1,995.26 | Facility | None | $524.81 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $891.25 Typical High $1,288.25 | Professional | None | $371.54 | $891.25 | $1,288.25 |
BCBS Mississippi Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $3,467.37 Typical High $5,495.41 | Facility | None | $794.33 | $3,467.37 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $676.08 Typical High $1,000.00 | Professional | None | $446.68 | $676.08 | $1,000.00 |
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 $9,120.11 | Facility | None | $758.58 | $1,412.54 | $9,120.11 |
United Setting Professional Modifier None Typical Low $380.19 Median $575.44 Typical High $1,122.02 | Professional | None | $380.19 | $575.44 | $1,122.02 |
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 $186.21 Median $446.68 Typical High $645.65 | Professional | 52 · Reduced service | $186.21 | $446.68 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $177.83 Typical High $257.04 | Professional | 53 · Discontinued | $74.13 | $177.83 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $676.08 Typical High $954.99 | Professional | 54 · Surgery only | $275.42 | $676.08 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $134.90 Typical High $190.55 | Professional | 55 · Aftercare only | $54.95 | $134.90 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $89.13 Typical High $128.82 | Professional | 56 · Pre-op care only | $37.15 | $89.13 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $630.96 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $257.04 | $630.96 | $891.25 |
Where Mississippi sits
The same service costs 6.5 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 $9,949MT $1,532
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.