How much rates vary
Facilitymedian $2,570 · 10th to 90th $955 to $7,244Professionalmedian $1,023 · 10th to 90th $617 to $1,622
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 $1,096.48 Typical High $2,818.38 | Facility | None | $758.58 | $1,096.48 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $1,318.26 Typical High $1,548.82 | Professional | None | $630.96 | $1,318.26 | $1,548.82 |
Ambetter Setting Professional Modifier None Typical Low $398.11 Median $562.34 Typical High $562.34 | Professional | None | $398.11 | $562.34 | $562.34 |
BCBS Mississippi Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $2,818.38 Typical High $5,754.40 | Facility | None | $891.25 | $2,818.38 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $1,000.00 Typical High $1,318.26 | Professional | None | $549.54 | $1,000.00 | $1,318.26 |
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 $1,122.02 Median $2,511.89 Typical High $9,332.54 | Facility | None | $1,122.02 | $2,511.89 | $9,332.54 |
United Setting Professional Modifier None Typical Low $676.08 Median $758.58 Typical High $1,819.70 | Professional | None | $676.08 | $758.58 | $1,819.70 |
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 $316.23 Median $776.25 Typical High $776.25 | Professional | 52 · Reduced service | $316.23 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $309.03 Typical High $309.03 | Professional | 53 · Discontinued | $128.82 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $1,174.90 Typical High $1,174.90 | Professional | 54 · Surgery only | $478.63 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $234.42 Typical High $234.42 | Professional | 55 · Aftercare only | $95.50 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $154.88 Typical High $154.88 | Professional | 56 · Pre-op care only | $63.10 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $1,096.48 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $446.68 | $1,096.48 | $1,096.48 |
Where Mississippi sits
The same service costs 4.5 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 $10,099MT $2,245
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.