How much rates vary
Facilitymedian $2,570 · 10th to 90th $891 to $8,318Professionalmedian $1,349 · 10th to 90th $977 to $2,754
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 $1,122.02 Typical High $1,995.26 | Facility | None | $776.25 | $1,122.02 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $2,754.23 Typical High $2,754.23 | Professional | None | $1,122.02 | $2,754.23 | $2,754.23 |
BCBS 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 Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $2,818.38 Typical High $4,570.88 | Facility | None | $660.69 | $2,818.38 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,380.38 Typical High $1,659.59 | Professional | None | $812.83 | $1,380.38 | $1,659.59 |
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 $1,148.15 Median $2,511.89 Typical High $10,715.19 | Facility | None | $1,148.15 | $2,511.89 | $10,715.19 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,148.15 Typical High $2,818.38 | Professional | None | $977.24 | $1,148.15 | $2,818.38 |
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 $562.34 Median $1,380.38 Typical High $1,380.38 | Professional | 52 · Reduced service | $562.34 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $549.54 Typical High $549.54 | Professional | 53 · Discontinued | $223.87 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $2,089.30 Typical High $2,089.30 | Professional | 54 · Surgery only | $851.14 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $416.87 Typical High $416.87 | Professional | 55 · Aftercare only | $169.82 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $275.42 Typical High $275.42 | Professional | 56 · Pre-op care only | $112.20 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $1,949.84 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $794.33 | $1,949.84 | $1,949.84 |
Where Mississippi sits
The same service costs 3.4 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 $11,546MT $3,436
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.