How much rates vary
Facilitymedian $955 · 10th to 90th $437 to $2,692Professionalmedian $229 · 10th to 90th $126 to $398
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 $194.98 Median $758.58 Typical High $1,819.70 | Facility | None | $194.98 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $346.74 Typical High $489.78 | Professional | None | $134.90 | $346.74 | $489.78 |
Ambetter Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
BCBS Mississippi Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,071.52 Typical High $2,187.76 | Facility | None | $436.52 | $1,071.52 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $229.09 Typical High $323.59 | Professional | None | $144.54 | $229.09 | $323.59 |
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 $467.74 Median $758.58 Typical High $3,548.13 | Facility | None | $467.74 | $758.58 | $3,548.13 |
United Setting Professional Modifier None Typical Low $123.03 Median $181.97 Typical High $346.74 | Professional | None | $123.03 | $181.97 | $346.74 |
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 $67.61 Median $173.78 Typical High $245.47 | Professional | 52 · Reduced service | $67.61 | $173.78 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $69.18 Typical High $100.00 | Professional | 53 · Discontinued | $26.92 | $69.18 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $257.04 Typical High $371.54 | Professional | 54 · Surgery only | $100.00 | $257.04 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $51.29 Typical High $74.13 | Professional | 55 · Aftercare only | $20.42 | $51.29 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $34.67 Typical High $48.98 | Professional | 56 · Pre-op care only | $13.49 | $34.67 | $48.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $93.33 Median $239.88 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $93.33 | $239.88 | $346.74 |
Where Mississippi sits
The same service costs 9.9 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 $4,605MT $466
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.