How much rates vary
Facilitymedian $12,589 · 10th to 90th $759 to $29,512Professionalmedian $631 · 10th to 90th $347 to $1,122
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 $549.54 Median $891.25 Typical High $1,819.70 | Facility | None | $549.54 | $891.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $912.01 Typical High $1,122.02 | Professional | None | $354.81 | $912.01 | $1,122.02 |
Ambetter Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
BCBS Mississippi Setting Facility Modifier None Typical Low $19,054.61 Median $19,054.61 Typical High $19,054.61 | Facility | None | $19,054.61 | $19,054.61 | $19,054.61 |
BCBS Mississippi Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $14,454.40 Typical High $26,915.35 | Facility | None | $630.96 | $14,454.40 | $26,915.35 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $630.96 Typical High $741.31 | Professional | None | $281.84 | $630.96 | $741.31 |
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 $2,137.96 Median $12,589.25 Typical High $30,902.95 | Facility | None | $2,137.96 | $12,589.25 | $30,902.95 |
United Setting Professional Modifier None Typical Low $346.74 Median $467.74 Typical High $1,000.00 | Professional | None | $346.74 | $467.74 | $1,000.00 |
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 $177.83 Median $457.09 Typical High $562.34 | Professional | 52 · Reduced service | $177.83 | $457.09 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $181.97 Typical High $223.87 | Professional | 53 · Discontinued | $70.79 | $181.97 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $691.83 Typical High $851.14 | Professional | 54 · Surgery only | $263.03 | $691.83 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $138.04 Typical High $169.82 | Professional | 55 · Aftercare only | $52.48 | $138.04 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $91.20 Typical High $112.20 | Professional | 56 · Pre-op care only | $35.48 | $91.20 | $112.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $645.65 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $245.47 | $645.65 | $794.33 |
Where Mississippi sits
The same service costs 29.4 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 $37,066MT $1,262
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.