How much rates vary
Facilitymedian $1,479 · 10th to 90th $525 to $4,677Professionalmedian $363 · 10th to 90th $200 to $550
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 $416.87 Median $776.25 Typical High $1,819.70 | Facility | None | $416.87 | $776.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $549.54 Typical High $549.54 | Professional | None | $213.80 | $549.54 | $549.54 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
BCBS Mississippi Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,621.81 Typical High $3,162.28 | Facility | None | $436.52 | $1,621.81 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $331.13 Typical High $389.05 | Professional | None | $169.82 | $331.13 | $389.05 |
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 $6,456.54 | Facility | None | $758.58 | $1,412.54 | $6,456.54 |
United Setting Professional Modifier None Typical Low $199.53 Median $223.87 Typical High $426.58 | Professional | None | $199.53 | $223.87 | $426.58 |
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 $107.15 Median $275.42 Typical High $275.42 | Professional | 52 · Reduced service | $107.15 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $109.65 Typical High $109.65 | Professional | 53 · Discontinued | $42.66 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $407.38 Typical High $407.38 | Professional | 54 · Surgery only | $162.18 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $81.28 Typical High $81.28 | Professional | 55 · Aftercare only | $32.36 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $54.95 Typical High $54.95 | Professional | 56 · Pre-op care only | $21.38 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $380.19 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $151.36 | $380.19 | $380.19 |
Where Mississippi sits
The same service costs 9.6 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 $6,197MT $647
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.