How much rates vary
Facilitymedian $1,585 · 10th to 90th $724 to $5,370Professionalmedian $1,698 · 10th to 90th $1,000 to $2,455
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 $707.95 Median $1,000.00 Typical High $2,454.71 | Facility | None | $707.95 | $1,000.00 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $2,454.71 Typical High $2,454.71 | Professional | None | $1,000.00 | $2,454.71 | $2,454.71 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $2,187.76 Typical High $3,467.37 | Facility | None | $660.69 | $2,187.76 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,584.89 Typical High $2,137.96 | Professional | None | $870.96 | $1,584.89 | $2,137.96 |
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 $7,585.78 | Facility | None | $758.58 | $1,412.54 | $7,585.78 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,230.27 Typical High $2,570.40 | Professional | None | $1,096.48 | $1,230.27 | $2,570.40 |
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 $501.19 Median $1,230.27 Typical High $1,230.27 | Professional | 52 · Reduced service | $501.19 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $489.78 Typical High $489.78 | Professional | 53 · Discontinued | $199.53 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $1,819.70 Typical High $1,819.70 | Professional | 54 · Surgery only | $758.58 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $371.54 Typical High $371.54 | Professional | 55 · Aftercare only | $151.36 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $245.47 Typical High $245.47 | Professional | 56 · Pre-op care only | $100.00 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $1,698.24 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $707.95 | $1,698.24 | $1,698.24 |
Where Mississippi sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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 $10,675KY $2,405
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.