How much rates vary
Facilitymedian $1,660 · 10th to 90th $759 to $6,166Professionalmedian $550 · 10th to 90th $309 to $851
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 $630.96 Median $851.14 Typical High $1,995.26 | Facility | None | $630.96 | $851.14 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $602.56 Typical High $851.14 | Professional | None | $338.84 | $602.56 | $851.14 |
Ambetter Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
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 $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,659.59 Typical High $3,311.31 | Facility | None | $660.69 | $1,659.59 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $512.86 Typical High $602.56 | Professional | None | $245.47 | $512.86 | $602.56 |
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 $977.24 Median $1,737.80 Typical High $6,606.93 | Facility | None | $977.24 | $1,737.80 | $6,606.93 |
United Setting Professional Modifier None Typical Low $309.03 Median $346.74 Typical High $660.69 | Professional | None | $309.03 | $346.74 | $660.69 |
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 $169.82 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $169.82 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $169.82 Typical High $169.82 | Professional | 53 · Discontinued | $67.61 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $645.65 Typical High $645.65 | Professional | 54 · Surgery only | $251.19 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $128.82 Typical High $128.82 | Professional | 55 · Aftercare only | $50.12 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $85.11 Typical High $85.11 | Professional | 56 · Pre-op care only | $33.88 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $602.56 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $234.42 | $602.56 | $602.56 |
Where Mississippi sits
The same service costs 5.3 times more in Alaska 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
AK $5,518MT $1,050
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.