How much rates vary
Facilitymedian $1,820 · 10th to 90th $776 to $6,607Professionalmedian $1,585 · 10th to 90th $1,000 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 Mississippi Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Facility | None | $3,090.30 | $3,090.30 | $3,090.30 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $2,884.03 Typical High $4,570.88 | Facility | None | $794.33 | $2,884.03 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,445.44 Typical High $1,737.80 | Professional | None | $794.33 | $1,445.44 | $1,737.80 |
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 $7,585.78 | Facility | None | $758.58 | $1,412.54 | $7,585.78 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,174.90 Typical High $2,818.38 | Professional | None | $1,023.29 | $1,174.90 | $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 $831.76 Median $2,041.74 Typical High $2,041.74 | Professional | 54 · Surgery only | $831.76 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $416.87 Typical High $416.87 | Professional | 55 · Aftercare only | $165.96 | $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 $776.25 Median $1,905.46 Typical High $1,905.46 | Professional | 78 · Unplanned return to OR | $776.25 | $1,905.46 | $1,905.46 |
Where Mississippi sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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 $11,283KY $2,440
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.