How much rates vary
Facilitymedian $1,738 · 10th to 90th $851 to $6,166Professionalmedian $891 · 10th to 90th $537 to $1,698
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 $1,047.13 Typical High $1,995.26 | Facility | None | $758.58 | $1,047.13 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $1,174.90 Typical High $1,698.24 | Professional | None | $549.54 | $1,174.90 | $1,698.24 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
BCBS Mississippi Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,659.59 Typical High $3,388.44 | Facility | None | $794.33 | $1,659.59 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $851.14 Typical High $933.25 | Professional | None | $537.03 | $851.14 | $933.25 |
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 $6,606.93 | Facility | None | $977.24 | $1,737.80 | $6,606.93 |
United Setting Professional Modifier None Typical Low $512.86 Median $616.60 Typical High $1,412.54 | Professional | None | $512.86 | $616.60 | $1,412.54 |
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 $275.42 Median $588.84 Typical High $851.14 | Professional | 52 · Reduced service | $275.42 | $588.84 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $234.42 Typical High $338.84 | Professional | 53 · Discontinued | $109.65 | $234.42 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $870.96 Typical High $1,258.93 | Professional | 54 · Surgery only | $416.87 | $870.96 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $173.78 Typical High $257.04 | Professional | 55 · Aftercare only | $83.18 | $173.78 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $117.49 Typical High $169.82 | Professional | 56 · Pre-op care only | $54.95 | $117.49 | $169.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $812.83 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $389.05 | $812.83 | $1,174.90 |
Where Mississippi sits
The same service costs 4.0 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 $7,771MT $1,932
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.