How much rates vary
Facilitymedian $891 · 10th to 90th $372 to $2,630Professionalmedian $2,455 · 10th to 90th $1,288 to $3,802
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 $1,288.25 Typical High $2,818.38 | Facility | None | $758.58 | $1,288.25 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $3,801.89 Typical High $3,801.89 | Professional | None | $1,288.25 | $3,801.89 | $3,801.89 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,000.00 Typical High $1,202.26 | Facility | None | $660.69 | $1,000.00 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $2,187.76 Typical High $2,570.40 | Professional | None | $1,023.29 | $2,187.76 | $2,570.40 |
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 $323.59 Median $691.83 Typical High $3,090.30 | Facility | None | $323.59 | $691.83 | $3,090.30 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,698.24 Typical High $3,019.95 | Professional | None | $1,318.26 | $1,698.24 | $3,019.95 |
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 $645.65 Median $1,905.46 Typical High $1,905.46 | Professional | 52 · Reduced service | $645.65 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $758.58 Typical High $758.58 | Professional | 53 · Discontinued | $257.04 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $2,884.03 Typical High $2,884.03 | Professional | 54 · Surgery only | $977.24 | $2,884.03 | $2,884.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $575.44 Typical High $575.44 | Professional | 55 · Aftercare only | $194.98 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $380.19 Typical High $380.19 | Professional | 56 · Pre-op care only | $128.82 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $2,691.53 Typical High $2,691.53 | Professional | 78 · Unplanned return to OR | $912.01 | $2,691.53 | $2,691.53 |
Where Mississippi sits
The same service costs 12.0 times more in Maine than in Maryland. 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
ME $24,859MD $2,076
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.