How much rates vary
Facilitymedian $3,090 · 10th to 90th $891 to $8,913Professionalmedian $1,413 · 10th to 90th $891 to $4,266
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 $1,096.48 Typical High $2,884.03 | Facility | None | $776.25 | $1,096.48 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $2,041.74 Typical High $4,265.80 | Professional | None | $933.25 | $2,041.74 | $4,265.80 |
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 $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $3,019.95 Typical High $4,786.30 | Facility | None | $660.69 | $3,019.95 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $1,479.11 Typical High $1,584.89 | Professional | None | $660.69 | $1,479.11 | $1,584.89 |
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 $1,380.38 Median $3,311.31 Typical High $10,232.93 | Facility | None | $1,380.38 | $3,311.31 | $10,232.93 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,047.13 Typical High $2,511.89 | Professional | None | $891.25 | $1,047.13 | $2,511.89 |
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 $467.74 Median $1,023.29 Typical High $2,137.96 | Professional | 52 · Reduced service | $467.74 | $1,023.29 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $407.38 Typical High $851.14 | Professional | 53 · Discontinued | $186.21 | $407.38 | $851.14 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $1,548.82 Typical High $3,235.94 | Professional | 54 · Surgery only | $691.83 | $1,548.82 | $3,235.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $309.03 Typical High $645.65 | Professional | 55 · Aftercare only | $138.04 | $309.03 | $645.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $204.17 Typical High $426.58 | Professional | 56 · Pre-op care only | $93.33 | $204.17 | $426.58 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $1,445.44 Typical High $3,019.95 | Professional | 78 · Unplanned return to OR | $645.65 | $1,445.44 | $3,019.95 |
Where Mississippi sits
The same service costs 4.7 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 $11,128KY $2,365
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.