How much rates vary
Facilitymedian $1,380 · 10th to 90th $708 to $4,467Professionalmedian $589 · 10th to 90th $372 to $1,148
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 $501.19 Median $776.25 Typical High $1,819.70 | Facility | None | $501.19 | $776.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $1,047.13 Typical High $1,548.82 | Professional | None | $371.54 | $1,047.13 | $1,548.82 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
BCBS Mississippi Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,412.54 Typical High $2,884.03 | Facility | None | $630.96 | $1,412.54 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $537.03 Typical High $707.95 | Professional | None | $371.54 | $537.03 | $707.95 |
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 $6,025.60 | Facility | None | $758.58 | $1,412.54 | $6,025.60 |
United Setting Professional Modifier None Typical Low $371.54 Median $512.86 Typical High $1,047.13 | Professional | None | $371.54 | $512.86 | $1,047.13 |
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 $186.21 Median $524.81 Typical High $776.25 | Professional | 52 · Reduced service | $186.21 | $524.81 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $208.93 Typical High $309.03 | Professional | 53 · Discontinued | $74.13 | $208.93 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $794.33 Typical High $1,148.15 | Professional | 54 · Surgery only | $281.84 | $794.33 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $158.49 Typical High $229.09 | Professional | 55 · Aftercare only | $56.23 | $158.49 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $104.71 Typical High $154.88 | Professional | 56 · Pre-op care only | $37.15 | $104.71 | $154.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $741.31 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $263.03 | $741.31 | $1,071.52 |
Where Mississippi sits
The same service costs 4.6 times more in Oklahoma 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
OK $6,614MT $1,440
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.