How much rates vary
Facilitymedian $2,089 · 10th to 90th $813 to $7,413Professionalmedian $2,188 · 10th to 90th $1,175 to $3,802
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 $1,412.54 Typical High $3,801.89 | Facility | None | $776.25 | $1,412.54 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $3,801.89 Typical High $3,801.89 | Professional | None | $1,174.90 | $3,801.89 | $3,801.89 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
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 $933.25 Median $1,995.26 Typical High $2,511.89 | Professional | None | $933.25 | $1,995.26 | $2,511.89 |
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 $1,288.25 Median $3,235.94 Typical High $9,332.54 | Facility | None | $1,288.25 | $3,235.94 | $9,332.54 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,513.56 Typical High $3,090.30 | Professional | None | $1,202.26 | $1,513.56 | $3,090.30 |
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 $588.84 Median $1,905.46 Typical High $1,905.46 | Professional | 52 · Reduced service | $588.84 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $758.58 Typical High $758.58 | Professional | 53 · Discontinued | $239.88 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $2,818.38 Typical High $2,818.38 | Professional | 54 · Surgery only | $891.25 | $2,818.38 | $2,818.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $562.34 Typical High $562.34 | Professional | 55 · Aftercare only | $177.83 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $380.19 Typical High $380.19 | Professional | 56 · Pre-op care only | $117.49 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $2,630.27 Typical High $2,630.27 | Professional | 78 · Unplanned return to OR | $831.76 | $2,630.27 | $2,630.27 |
Where Mississippi sits
The same service costs 13.5 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 $34,179TX $2,531
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.