How much rates vary
Facilitymedian $1,778 · 10th to 90th $692 to $5,495Professionalmedian $617 · 10th to 90th $182 to $1,622
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 $549.54 Median $776.25 Typical High $1,995.26 | Facility | None | $549.54 | $776.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $851.14 Typical High $3,235.94 | Professional | None | $181.97 | $851.14 | $3,235.94 |
Ambetter Setting Professional Modifier None Typical Low $97.72 Median $177.83 Typical High $190.55 | Professional | None | $97.72 | $177.83 | $190.55 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
BCBS Mississippi Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,949.84 Typical High $3,890.45 | Facility | None | $630.96 | $1,949.84 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $549.54 Typical High $1,174.90 | Professional | None | $199.53 | $549.54 | $1,174.90 |
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 $977.24 Median $1,737.80 Typical High $6,456.54 | Facility | None | $977.24 | $1,737.80 | $6,456.54 |
United Setting Professional Modifier None Typical Low $190.55 Median $691.83 Typical High $1,621.81 | Professional | None | $190.55 | $691.83 | $1,621.81 |
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 $91.20 Median $426.58 Typical High $1,621.81 | Professional | 52 · Reduced service | $91.20 | $426.58 | $1,621.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $169.82 Typical High $645.65 | Professional | 53 · Discontinued | $36.31 | $169.82 | $645.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $630.96 Typical High $2,398.83 | Professional | 54 · Surgery only | $138.04 | $630.96 | $2,398.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $128.82 Typical High $478.63 | Professional | 55 · Aftercare only | $27.54 | $128.82 | $478.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $85.11 Typical High $323.59 | Professional | 56 · Pre-op care only | $18.20 | $85.11 | $323.59 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $128.82 Median $588.84 Typical High $2,238.72 | Professional | 78 · Unplanned return to OR | $128.82 | $588.84 | $2,238.72 |
Where Mississippi sits
The same service costs 5.1 times more in Colorado 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
CO $7,315MT $1,443
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.