How much rates vary
Facilitymedian $2,570 · 10th to 90th $832 to $7,762Professionalmedian $977 · 10th to 90th $575 to $1,820
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 $630.96 Median $891.25 Typical High $1,995.26 | Facility | None | $630.96 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $1,258.93 Typical High $1,819.70 | Professional | None | $588.84 | $1,258.93 | $1,819.70 |
BCBS Mississippi Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $2,884.03 Typical High $5,248.07 | Facility | None | $794.33 | $2,884.03 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $933.25 Typical High $1,023.29 | Professional | None | $602.56 | $933.25 | $1,023.29 |
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 $575.44 Median $676.08 Typical High $1,584.89 | Professional | None | $575.44 | $676.08 | $1,584.89 |
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 $295.12 Median $630.96 Typical High $912.01 | Professional | 52 · Reduced service | $295.12 | $630.96 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $251.19 Typical High $363.08 | Professional | 53 · Discontinued | $120.23 | $251.19 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $933.25 Typical High $1,380.38 | Professional | 54 · Surgery only | $446.68 | $933.25 | $1,380.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $186.21 Typical High $275.42 | Professional | 55 · Aftercare only | $89.13 | $186.21 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $125.89 Typical High $181.97 | Professional | 56 · Pre-op care only | $58.88 | $125.89 | $181.97 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $870.96 Typical High $1,288.25 | Professional | 78 · Unplanned return to OR | $416.87 | $870.96 | $1,288.25 |
Where Mississippi sits
The same service costs 5.4 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 $11,084MT $2,070
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.