How much rates vary
Facilitymedian $1,349 · 10th to 90th $759 to $4,898Professionalmedian $1,122 · 10th to 90th $692 to $1,660
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 $691.83 Median $1,445.44 Typical High $1,659.59 | Professional | None | $691.83 | $1,445.44 | $1,659.59 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,000.00 Typical High $1,202.26 | Facility | None | $660.69 | $1,000.00 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $1,071.52 Typical High $1,412.54 | Professional | None | $588.84 | $1,071.52 | $1,412.54 |
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 $977.24 Median $1,737.80 Typical High $6,456.54 | Facility | None | $977.24 | $1,737.80 | $6,456.54 |
United Setting Professional Modifier None Typical Low $741.31 Median $831.76 Typical High $1,698.24 | Professional | None | $741.31 | $831.76 | $1,698.24 |
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 $346.74 Median $831.76 Typical High $831.76 | Professional | 52 · Reduced service | $346.74 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $331.13 Typical High $331.13 | Professional | 53 · Discontinued | $138.04 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $1,258.93 Typical High $1,258.93 | Professional | 54 · Surgery only | $512.86 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $251.19 Typical High $251.19 | Professional | 55 · Aftercare only | $102.33 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $165.96 Typical High $165.96 | Professional | 56 · Pre-op care only | $69.18 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $1,174.90 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $478.63 | $1,174.90 | $1,174.90 |
Where Mississippi sits
The same service costs 11.6 times more in Maine than in Texas. 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
ME $23,484TX $2,029
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.