How much rates vary
Facilitymedian $891 · 10th to 90th $372 to $2,630Professionalmedian $1,820 · 10th to 90th $1,096 to $3,467
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 $1,122.02 Typical High $2,818.38 | Facility | None | $758.58 | $1,122.02 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $2,344.23 Typical High $3,467.37 | Professional | None | $1,122.02 | $2,344.23 | $3,467.37 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
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 $1,122.02 Median $1,778.28 Typical High $1,949.84 | Professional | None | $1,122.02 | $1,778.28 | $1,949.84 |
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 $1,023.29 Median $1,258.93 Typical High $2,884.03 | Professional | None | $1,023.29 | $1,258.93 | $2,884.03 |
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 $1,174.90 Typical High $1,737.80 | Professional | 52 · Reduced service | $562.34 | $1,174.90 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $467.74 Typical High $691.83 | Professional | 53 · Discontinued | $223.87 | $467.74 | $691.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $1,778.28 Typical High $2,570.40 | Professional | 54 · Surgery only | $851.14 | $1,778.28 | $2,570.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $354.81 Typical High $512.86 | Professional | 55 · Aftercare only | $169.82 | $354.81 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $234.42 Typical High $346.74 | Professional | 56 · Pre-op care only | $112.20 | $234.42 | $346.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $1,659.59 Typical High $2,398.83 | Professional | 78 · Unplanned return to OR | $794.33 | $1,659.59 | $2,398.83 |
Where Mississippi sits
The same service costs 5.9 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 $10,682MD $1,821
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.