How much rates vary
Facilitymedian $2,570 · 10th to 90th $813 to $7,762Professionalmedian $1,072 · 10th to 90th $724 to $1,995
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 $707.95 Median $891.25 Typical High $1,995.26 | Facility | None | $707.95 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $1,995.26 Typical High $1,995.26 | Professional | None | $812.83 | $1,995.26 | $1,995.26 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $2,818.38 Typical High $5,888.44 | Facility | None | $660.69 | $2,818.38 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $1,000.00 Typical High $1,230.27 | Professional | None | $588.84 | $1,000.00 | $1,230.27 |
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 $1,122.02 Median $2,511.89 Typical High $10,232.93 | Facility | None | $1,122.02 | $2,511.89 | $10,232.93 |
United Setting Professional Modifier None Typical Low $724.44 Median $831.76 Typical High $1,995.26 | Professional | None | $724.44 | $831.76 | $1,995.26 |
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 $407.38 Median $1,000.00 Typical High $1,000.00 | Professional | 52 · Reduced service | $407.38 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $398.11 Typical High $398.11 | Professional | 53 · Discontinued | $162.18 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $1,479.11 Typical High $1,479.11 | Professional | 54 · Surgery only | $602.56 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $295.12 Typical High $295.12 | Professional | 55 · Aftercare only | $120.23 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $199.53 Typical High $199.53 | Professional | 56 · Pre-op care only | $81.28 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $1,380.38 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $562.34 | $1,380.38 | $1,380.38 |
Where Mississippi sits
The same service costs 4.2 times more in Alaska 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
AK $10,315MT $2,461
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.