How much rates vary
Facilitymedian $1,445 · 10th to 90th $646 to $4,467Professionalmedian $355 · 10th to 90th $234 to $589
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 $251.19 Median $741.31 Typical High $1,819.70 | Facility | None | $251.19 | $741.31 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $524.81 Typical High $616.60 | Professional | None | $223.87 | $524.81 | $616.60 |
Ambetter Setting Professional Modifier None Typical Low $239.88 Median $309.03 Typical High $338.84 | Professional | None | $239.88 | $309.03 | $338.84 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
BCBS Mississippi Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,659.59 Typical High $3,235.94 | Facility | None | $630.96 | $1,659.59 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $354.81 Typical High $501.19 | Professional | None | $229.09 | $354.81 | $501.19 |
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 $5,888.44 | Facility | None | $758.58 | $1,412.54 | $5,888.44 |
United Setting Professional Modifier None Typical Low $234.42 Median $269.15 Typical High $588.84 | Professional | None | $234.42 | $269.15 | $588.84 |
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 $109.65 Median $263.03 Typical High $309.03 | Professional | 52 · Reduced service | $109.65 | $263.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $104.71 Typical High $123.03 | Professional | 53 · Discontinued | $43.65 | $104.71 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $398.11 Typical High $457.09 | Professional | 54 · Surgery only | $162.18 | $398.11 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $79.43 Typical High $93.33 | Professional | 55 · Aftercare only | $32.36 | $79.43 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $52.48 Typical High $61.66 | Professional | 56 · Pre-op care only | $21.88 | $52.48 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $371.54 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $151.36 | $371.54 | $426.58 |
Where Mississippi sits
The same service costs 5.6 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 $4,849MT $864
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.