How much rates vary
Facilitymedian $2,692 · 10th to 90th $955 to $9,772Professionalmedian $1,622 · 10th to 90th $851 to $2,512
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 $1,096.48 Typical High $2,818.38 | Facility | None | $776.25 | $1,096.48 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $2,511.89 Typical High $2,511.89 | Professional | None | $851.14 | $2,511.89 | $2,511.89 |
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 $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $4,786.30 Typical High $7,585.78 | Facility | None | $891.25 | $4,786.30 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $1,445.44 Typical High $1,698.24 | Professional | None | $676.08 | $1,445.44 | $1,698.24 |
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 $14,125.38 | Facility | None | $1,122.02 | $2,511.89 | $14,125.38 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,122.02 Typical High $1,995.26 | Professional | None | $870.96 | $1,122.02 | $1,995.26 |
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 $426.58 Median $1,258.93 Typical High $1,258.93 | Professional | 52 · Reduced service | $426.58 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $512.86 Typical High $512.86 | Professional | 53 · Discontinued | $169.82 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $645.65 Median $1,905.46 Typical High $1,905.46 | Professional | 54 · Surgery only | $645.65 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $380.19 Typical High $380.19 | Professional | 55 · Aftercare only | $128.82 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $251.19 Typical High $251.19 | Professional | 56 · Pre-op care only | $85.11 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $1,778.28 Typical High $1,778.28 | Professional | 78 · Unplanned return to OR | $602.56 | $1,778.28 | $1,778.28 |
Where Mississippi sits
The same service costs 4.6 times more in Wyoming 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
WY $13,103MT $2,825
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.