How much rates vary
Facilitymedian $1,413 · 10th to 90th $813 to $4,467Professionalmedian $1,778 · 10th to 90th $1,148 to $3,162
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 $1,174.90 Typical High $2,884.03 | Facility | None | $776.25 | $1,174.90 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $3,162.28 Typical High $3,162.28 | Professional | None | $1,258.93 | $3,162.28 | $3,162.28 |
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 $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,818.38 | $2,818.38 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $1,412.54 Typical High $2,884.03 | Facility | None | $891.25 | $1,412.54 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,659.59 Typical High $1,949.84 | Professional | None | $912.01 | $1,659.59 | $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 $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 $1,122.02 Median $1,380.38 Typical High $3,090.30 | Professional | None | $1,122.02 | $1,380.38 | $3,090.30 |
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 $630.96 Median $1,548.82 Typical High $1,548.82 | Professional | 52 · Reduced service | $630.96 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $630.96 Typical High $630.96 | Professional | 53 · Discontinued | $257.04 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $954.99 Median $2,344.23 Typical High $2,344.23 | Professional | 54 · Surgery only | $954.99 | $2,344.23 | $2,344.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $467.74 Typical High $467.74 | Professional | 55 · Aftercare only | $190.55 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $316.23 Typical High $316.23 | Professional | 56 · Pre-op care only | $125.89 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $2,187.76 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $891.25 | $2,187.76 | $2,187.76 |
Where Mississippi sits
The same service costs 3.2 times more in Alaska than in Delaware. 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 $8,931DE $2,772
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.