How much rates vary
Facilitymedian $1,259 · 10th to 90th $794 to $3,467Professionalmedian $537 · 10th to 90th $302 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 $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 $331.13 Median $588.84 Typical High $851.14 | Professional | None | $331.13 | $588.84 | $851.14 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
BCBS Mississippi Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
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 $239.88 Median $501.19 Typical High $588.84 | Professional | None | $239.88 | $501.19 | $588.84 |
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 $302.00 Median $346.74 Typical High $660.69 | Professional | None | $302.00 | $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 $165.96 Median $416.87 Typical High $416.87 | Professional | 52 · Reduced service | $165.96 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $169.82 Typical High $169.82 | Professional | 53 · Discontinued | $66.07 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $630.96 Typical High $630.96 | Professional | 54 · Surgery only | $245.47 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $125.89 Typical High $125.89 | Professional | 55 · Aftercare only | $50.12 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $85.11 Typical High $85.11 | Professional | 56 · Pre-op care only | $33.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $588.84 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $229.09 | $588.84 | $588.84 |
Where Mississippi sits
The same service costs 5.1 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 $5,094MT $991
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.