How much rates vary
Facilitymedian $891 · 10th to 90th $372 to $2,630Professionalmedian $2,188 · 10th to 90th $1,259 to $6,457
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 $758.58 Median $1,318.26 Typical High $2,818.38 | Facility | None | $758.58 | $1,318.26 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $3,090.30 Typical High $6,456.54 | Professional | None | $1,380.38 | $3,090.30 | $6,456.54 |
BCBS Mississippi Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None | $3,019.95 | $3,019.95 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,000.00 Typical High $1,202.26 | Facility | None | $660.69 | $1,000.00 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $2,137.96 Typical High $2,344.23 | Professional | None | $1,000.00 | $2,137.96 | $2,344.23 |
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 $323.59 Median $691.83 Typical High $3,090.30 | Facility | None | $323.59 | $691.83 | $3,090.30 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,548.82 Typical High $3,630.78 | Professional | None | $1,258.93 | $1,548.82 | $3,630.78 |
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 $691.83 Median $1,513.56 Typical High $3,235.94 | Professional | 52 · Reduced service | $691.83 | $1,513.56 | $3,235.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $616.60 Typical High $1,288.25 | Professional | 53 · Discontinued | $275.42 | $616.60 | $1,288.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $2,290.87 Typical High $4,786.30 | Professional | 54 · Surgery only | $1,047.13 | $2,290.87 | $4,786.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $457.09 Typical High $954.99 | Professional | 55 · Aftercare only | $208.93 | $457.09 | $954.99 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $309.03 Typical High $645.65 | Professional | 56 · Pre-op care only | $138.04 | $309.03 | $645.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $2,137.96 Typical High $4,466.84 | Professional | 78 · Unplanned return to OR | $977.24 | $2,137.96 | $4,466.84 |
Where Mississippi sits
The same service costs 8.9 times more in Alabama than in Maryland. 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
AL $18,845MD $2,111
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.