How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,175 to $11,482Professionalmedian $2,239 · 10th to 90th $1,202 to $3,548
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 $1,202.26 Typical High $3,548.13 | Facility | None | $776.25 | $1,202.26 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $3,548.13 Typical High $3,548.13 | Professional | None | $1,202.26 | $3,548.13 | $3,548.13 |
BCBS Mississippi Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | None | $2,238.72 | $2,238.72 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $4,786.30 Typical High $7,585.78 | Facility | None | $1,737.80 | $4,786.30 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $2,041.74 Typical High $2,398.83 | Professional | None | $933.25 | $2,041.74 | $2,398.83 |
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 $1,380.38 Median $3,311.31 Typical High $15,848.93 | Facility | None | $1,380.38 | $3,311.31 | $15,848.93 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,548.82 Typical High $2,818.38 | Professional | None | $1,230.27 | $1,548.82 | $2,818.38 |
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 $602.56 Median $1,778.28 Typical High $1,778.28 | Professional | 52 · Reduced service | $602.56 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $707.95 Typical High $707.95 | Professional | 53 · Discontinued | $239.88 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $2,630.27 Typical High $2,630.27 | Professional | 54 · Surgery only | $891.25 | $2,630.27 | $2,630.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $524.81 Typical High $524.81 | Professional | 55 · Aftercare only | $177.83 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $354.81 Typical High $354.81 | Professional | 56 · Pre-op care only | $120.23 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $2,454.71 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $831.76 | $2,454.71 | $2,454.71 |
Where Mississippi sits
The same service costs 4.2 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 $16,316MT $3,900
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.