How much rates vary
Facilitymedian $1,549 · 10th to 90th $708 to $7,079Professionalmedian $603 · 10th to 90th $331 to $1,148
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 $478.63 Median $812.83 Typical High $1,995.26 | Facility | None | $478.63 | $812.83 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $812.83 Typical High $1,148.15 | Professional | None | $331.13 | $812.83 | $1,148.15 |
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 $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $3,467.37 Typical High $5,495.41 | Facility | None | $660.69 | $3,467.37 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $602.56 Typical High $891.25 | Professional | None | $398.11 | $602.56 | $891.25 |
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 $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 $338.84 Median $501.19 Typical High $1,023.29 | Professional | None | $338.84 | $501.19 | $1,023.29 |
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 $165.96 Median $407.38 Typical High $575.44 | Professional | 52 · Reduced service | $165.96 | $407.38 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $162.18 Typical High $234.42 | Professional | 53 · Discontinued | $66.07 | $162.18 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $602.56 Typical High $870.96 | Professional | 54 · Surgery only | $251.19 | $602.56 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $120.23 Typical High $173.78 | Professional | 55 · Aftercare only | $50.12 | $120.23 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $81.28 Typical High $114.82 | Professional | 56 · Pre-op care only | $33.11 | $81.28 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $562.34 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $234.42 | $562.34 | $812.83 |
Where Mississippi sits
The same service costs 6.4 times more in Alaska 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
AK $8,723MT $1,361
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.