How much rates vary
Facilitymedian $3,311 · 10th to 90th $955 to $10,000Professionalmedian $851 · 10th to 90th $447 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 $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 $501.19 Median $1,096.48 Typical High $1,230.27 | Professional | None | $501.19 | $1,096.48 | $1,230.27 |
Ambetter Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
BCBS Mississippi Setting Facility Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Facility | None | $5,248.07 | $5,248.07 | $5,248.07 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $4,466.84 Typical High $7,413.10 | Facility | None | $794.33 | $4,466.84 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $851.14 Typical High $954.99 | Professional | None | $416.87 | $851.14 | $954.99 |
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 $12,589.25 | Facility | None | $1,380.38 | $3,311.31 | $12,589.25 |
United Setting Professional Modifier None Typical Low $446.68 Median $549.54 Typical High $1,230.27 | Professional | None | $446.68 | $549.54 | $1,230.27 |
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 $251.19 Median $537.03 Typical High $616.60 | Professional | 52 · Reduced service | $251.19 | $537.03 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $218.78 Typical High $245.47 | Professional | 53 · Discontinued | $102.33 | $218.78 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $812.83 Typical High $912.01 | Professional | 54 · Surgery only | $380.19 | $812.83 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $162.18 Typical High $181.97 | Professional | 55 · Aftercare only | $75.86 | $162.18 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $109.65 Typical High $123.03 | Professional | 56 · Pre-op care only | $50.12 | $109.65 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $758.58 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $354.81 | $758.58 | $851.14 |
Where Mississippi sits
The same service costs 7.5 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 $13,659MT $1,825
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.