How much rates vary
Facilitymedian $3,311 · 10th to 90th $955 to $15,849Professionalmedian $1,023 · 10th to 90th $550 to $1,380
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 $758.58 Median $1,047.13 Typical High $1,995.26 | Facility | None | $758.58 | $1,047.13 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $1,202.26 Typical High $1,348.96 | Professional | None | $562.34 | $1,202.26 | $1,348.96 |
BCBS Mississippi Setting Facility Modifier None Typical Low $12,302.69 Median $12,302.69 Typical High $12,302.69 | Facility | None | $12,302.69 | $12,302.69 | $12,302.69 |
BCBS Mississippi 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 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $8,912.51 Typical High $14,454.40 | Facility | None | $794.33 | $8,912.51 | $14,454.40 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $1,023.29 Typical High $1,071.52 | Professional | None | $457.09 | $1,023.29 | $1,071.52 |
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 $16,218.10 | Facility | None | $1,380.38 | $3,311.31 | $16,218.10 |
United Setting Professional Modifier None Typical Low $549.54 Median $645.65 Typical High $1,479.11 | Professional | None | $549.54 | $645.65 | $1,479.11 |
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 $281.84 Median $602.56 Typical High $676.08 | Professional | 52 · Reduced service | $281.84 | $602.56 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $239.88 Typical High $269.15 | Professional | 53 · Discontinued | $112.20 | $239.88 | $269.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $891.25 Typical High $1,023.29 | Professional | 54 · Surgery only | $416.87 | $891.25 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $177.83 Typical High $204.17 | Professional | 55 · Aftercare only | $83.18 | $177.83 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $120.23 Typical High $134.90 | Professional | 56 · Pre-op care only | $56.23 | $120.23 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $831.76 Typical High $954.99 | Professional | 78 · Unplanned return to OR | $389.05 | $831.76 | $954.99 |
Where Mississippi sits
The same service costs 10.1 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 $19,890MT $1,977
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.