How much rates vary
Facilitymedian $3,311 · 10th to 90th $955 to $9,333Professionalmedian $1,318 · 10th to 90th $851 to $2,344
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 $776.25 Median $1,148.15 Typical High $2,818.38 | Facility | None | $776.25 | $1,148.15 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $2,041.74 Typical High $2,344.23 | Professional | None | $954.99 | $2,041.74 | $2,344.23 |
Ambetter Setting Professional Modifier None Typical Low $114.82 Median $1,071.52 Typical High $1,258.93 | Professional | None | $114.82 | $1,071.52 | $1,258.93 |
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 $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $3,467.37 Typical High $7,079.46 | Facility | None | $891.25 | $3,467.37 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $1,778.28 Typical High $1,949.84 | Professional | None | $776.25 | $1,778.28 | $1,949.84 |
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 $3,467.37 Typical High $12,589.25 | Facility | None | $1,380.38 | $3,467.37 | $12,589.25 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,096.48 Typical High $2,511.89 | Professional | None | $977.24 | $1,096.48 | $2,511.89 |
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 $478.63 Median $1,023.29 Typical High $1,174.90 | Professional | 52 · Reduced service | $478.63 | $1,023.29 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $407.38 Typical High $467.74 | Professional | 53 · Discontinued | $190.55 | $407.38 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $1,548.82 Typical High $1,737.80 | Professional | 54 · Surgery only | $724.44 | $1,548.82 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $309.03 Typical High $346.74 | Professional | 55 · Aftercare only | $144.54 | $309.03 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $204.17 Typical High $234.42 | Professional | 56 · Pre-op care only | $95.50 | $204.17 | $234.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $1,445.44 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $676.08 | $1,445.44 | $1,621.81 |
Where Mississippi sits
The same service costs 4.2 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 $14,362MT $3,396
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.