How much rates vary
Facilitymedian $1,148 · 10th to 90th $759 to $3,981Professionalmedian $501 · 10th to 90th $269 to $813
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 $1,000.00 Typical High $1,995.26 | Facility | None | $758.58 | $1,000.00 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $812.83 Typical High $812.83 | Professional | None | $269.15 | $812.83 | $812.83 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
BCBS Mississippi Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $1,023.29 Typical High $1,949.84 | Facility | None | $794.33 | $1,023.29 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $457.09 Typical High $537.03 | Professional | None | $275.42 | $457.09 | $537.03 |
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 $758.58 Median $1,412.54 Typical High $4,466.84 | Facility | None | $758.58 | $1,412.54 | $4,466.84 |
United Setting Professional Modifier None Typical Low $269.15 Median $354.81 Typical High $630.96 | Professional | None | $269.15 | $354.81 | $630.96 |
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 $134.90 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $134.90 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $54.95 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $602.56 Typical High $602.56 | Professional | 54 · Surgery only | $204.17 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $120.23 Typical High $120.23 | Professional | 55 · Aftercare only | $40.74 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $26.92 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $562.34 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $190.55 | $562.34 | $562.34 |
Where Mississippi sits
The same service costs 6.6 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 $6,126MT $925
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.