How much rates vary
Facilitymedian $1,514 · 10th to 90th $708 to $4,467Professionalmedian $661 · 10th to 90th $363 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 $489.78 Median $851.14 Typical High $1,995.26 | Facility | None | $489.78 | $851.14 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $891.25 Typical High $1,174.90 | Professional | None | $363.08 | $891.25 | $1,174.90 |
BCBS 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 Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,584.89 Typical High $3,162.28 | Facility | None | $660.69 | $1,584.89 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $660.69 Typical High $933.25 | Professional | None | $416.87 | $660.69 | $933.25 |
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 $6,025.60 | Facility | None | $758.58 | $1,412.54 | $6,025.60 |
United Setting Professional Modifier None Typical Low $380.19 Median $524.81 Typical High $1,071.52 | Professional | None | $380.19 | $524.81 | $1,071.52 |
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 $181.97 Median $436.52 Typical High $588.84 | Professional | 52 · Reduced service | $181.97 | $436.52 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $177.83 Typical High $234.42 | Professional | 53 · Discontinued | $72.44 | $177.83 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $660.69 Typical High $891.25 | Professional | 54 · Surgery only | $275.42 | $660.69 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $131.83 Typical High $177.83 | Professional | 55 · Aftercare only | $54.95 | $131.83 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $89.13 Typical High $117.49 | Professional | 56 · Pre-op care only | $36.31 | $89.13 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $616.60 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $257.04 | $616.60 | $831.76 |
Where Mississippi sits
The same service costs 5.8 times more in Alabama 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
AL $8,423MT $1,458
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.