How much rates vary
Facilitymedian $2,570 · 10th to 90th $977 to $7,413Professionalmedian $1,950 · 10th to 90th $1,148 to $3,715
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 $1,174.90 Typical High $3,311.31 | Facility | None | $776.25 | $1,174.90 | $3,311.31 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $3,467.37 Typical High $4,168.69 | Professional | None | $1,122.02 | $3,467.37 | $4,168.69 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,511.89 | $2,511.89 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,884.03 Typical High $5,888.44 | Facility | None | $891.25 | $2,884.03 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,659.59 Typical High $2,238.72 | Professional | None | $1,148.15 | $1,659.59 | $2,238.72 |
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 $1,122.02 Median $2,511.89 Typical High $10,232.93 | Facility | None | $1,122.02 | $2,511.89 | $10,232.93 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,584.89 Typical High $3,715.35 | Professional | None | $1,174.90 | $1,584.89 | $3,715.35 |
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 $1,737.80 Typical High $2,089.30 | Professional | 52 · Reduced service | $562.34 | $1,737.80 | $2,089.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $691.83 Typical High $831.76 | Professional | 53 · Discontinued | $223.87 | $691.83 | $831.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $2,570.40 Typical High $3,090.30 | Professional | 54 · Surgery only | $851.14 | $2,570.40 | $3,090.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $512.86 Typical High $616.60 | Professional | 55 · Aftercare only | $169.82 | $512.86 | $616.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $346.74 Typical High $416.87 | Professional | 56 · Pre-op care only | $112.20 | $346.74 | $416.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $2,398.83 Typical High $2,884.03 | Professional | 78 · Unplanned return to OR | $794.33 | $2,398.83 | $2,884.03 |
Where Mississippi sits
The same service costs 3.2 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 $12,311KY $3,892
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.