How much rates vary
Facilitymedian $3,162 · 10th to 90th $851 to $9,333Professionalmedian $891 · 10th to 90th $479 to $1,202
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 $630.96 Median $891.25 Typical High $1,995.26 | Facility | None | $630.96 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $1,047.13 Typical High $1,202.26 | Professional | None | $489.78 | $1,047.13 | $1,202.26 |
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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $3,467.37 Typical High $7,079.46 | Facility | None | $660.69 | $3,467.37 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $891.25 Typical High $1,023.29 | Professional | None | $398.11 | $891.25 | $1,023.29 |
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 $489.78 Median $562.34 Typical High $1,258.93 | Professional | None | $489.78 | $562.34 | $1,258.93 |
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 $245.47 Median $524.81 Typical High $588.84 | Professional | 52 · Reduced service | $245.47 | $524.81 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $208.93 Typical High $239.88 | Professional | 53 · Discontinued | $97.72 | $208.93 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $794.33 Typical High $891.25 | Professional | 54 · Surgery only | $371.54 | $794.33 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $158.49 Typical High $177.83 | Professional | 55 · Aftercare only | $74.13 | $158.49 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $104.71 Typical High $120.23 | Professional | 56 · Pre-op care only | $48.98 | $104.71 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $741.31 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $346.74 | $741.31 | $831.76 |
Where Mississippi sits
The same service costs 7.9 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 $13,941MT $1,762
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.