How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,175 to $11,482Professionalmedian $1,349 · 10th to 90th $708 to $1,778
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 $707.95 Median $1,737.80 Typical High $1,737.80 | Professional | None | $707.95 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $1,288.25 Typical High $1,288.25 | Professional | 54 · Surgery only | $537.03 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $1,202.26 Typical High $1,202.26 | Professional | 78 · Unplanned return to OR | $501.19 | $1,202.26 | $1,202.26 |
BCBS Mississippi Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $4,786.30 Typical High $9,549.93 | Facility | None | $1,737.80 | $4,786.30 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $1,318.26 Typical High $1,548.82 | Professional | None | $616.60 | $1,318.26 | $1,548.82 |
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 $1,380.38 Median $3,311.31 Typical High $15,848.93 | Facility | None | $1,380.38 | $3,311.31 | $15,848.93 |
United Setting Professional Modifier None Typical Low $794.33 Median $933.25 Typical High $2,041.74 | Professional | None | $794.33 | $933.25 | $2,041.74 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 51 · Multiple procedures | $389.05 | $389.05 | $389.05 |
Where Mississippi sits
The same service costs 6.1 times more in Colorado 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
CO $15,685MT $2,577
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.