How much rates vary
Facilitymedian $1,380 · 10th to 90th $708 to $4,467Professionalmedian $589 · 10th to 90th $398 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 $549.54 Median $891.25 Typical High $1,819.70 | Facility | None | $549.54 | $891.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $1,148.15 Typical High $1,148.15 | Professional | None | $446.68 | $1,148.15 | $1,148.15 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
BCBS Mississippi Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,412.54 Typical High $2,884.03 | Facility | None | $630.96 | $1,412.54 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $562.34 Typical High $707.95 | Professional | None | $346.74 | $562.34 | $707.95 |
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 $398.11 Median $457.09 Typical High $1,047.13 | Professional | None | $398.11 | $457.09 | $1,047.13 |
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 $234.42 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $234.42 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $93.33 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $851.14 Typical High $851.14 | Professional | 54 · Surgery only | $346.74 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $69.18 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $46.77 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $812.83 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $323.59 | $812.83 | $812.83 |
Where Mississippi sits
The same service costs 3.6 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 $5,175MT $1,450
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.