How much rates vary
Facilitymedian $2,692 · 10th to 90th $1,096 to $7,762Professionalmedian $1,288 · 10th to 90th $776 to $1,905
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 $776.25 Median $1,148.15 Typical High $2,818.38 | Facility | None | $776.25 | $1,148.15 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $1,621.81 Typical High $1,905.46 | Professional | None | $776.25 | $1,621.81 | $1,905.46 |
Ambetter Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
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 $1,737.80 Median $3,019.95 Typical High $5,623.41 | Facility | None | $1,737.80 | $3,019.95 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $1,258.93 Typical High $1,621.81 | Professional | None | $660.69 | $1,258.93 | $1,621.81 |
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 $10,232.93 | Facility | None | $1,122.02 | $2,511.89 | $10,232.93 |
United Setting Professional Modifier None Typical Low $851.14 Median $933.25 Typical High $2,041.74 | Professional | None | $851.14 | $933.25 | $2,041.74 |
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 $389.05 Median $933.25 Typical High $933.25 | Professional | 52 · Reduced service | $389.05 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $380.19 Typical High $380.19 | Professional | 53 · Discontinued | $154.88 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $1,412.54 Typical High $1,412.54 | Professional | 54 · Surgery only | $575.44 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $281.84 Typical High $281.84 | Professional | 55 · Aftercare only | $117.49 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $190.55 Typical High $190.55 | Professional | 56 · Pre-op care only | $77.62 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $1,318.26 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $537.03 | $1,318.26 | $1,318.26 |
Where Mississippi sits
The same service costs 4.2 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 $11,551MT $2,762
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.