How much rates vary
Facilitymedian $3,311 · 10th to 90th $603 to $13,804Professionalmedian $407 · 10th to 90th $195 to $5,012
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 $416.87 Median $933.25 Typical High $3,162.28 | Facility | None | $416.87 | $933.25 | $3,162.28 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $1,318.26 Typical High $10,000.00 | Professional | None | $407.38 | $1,318.26 | $10,000.00 |
BCBS Mississippi Setting Facility Modifier None Typical Low $7,244.36 Median $7,244.36 Typical High $7,244.36 | Facility | None | $7,244.36 | $7,244.36 | $7,244.36 |
BCBS Mississippi Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $8,128.31 Typical High $12,882.50 | Facility | None | $436.52 | $8,128.31 | $12,882.50 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $338.84 Typical High $3,311.31 | Professional | None | $257.04 | $338.84 | $3,311.31 |
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 $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 $147.91 Median $338.84 Typical High $2,089.30 | Professional | None | $147.91 | $338.84 | $2,089.30 |
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 $204.17 Median $645.65 Typical High $5,011.87 | Professional | 52 · Reduced service | $204.17 | $645.65 | $5,011.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $263.03 Typical High $1,995.26 | Professional | 53 · Discontinued | $81.28 | $263.03 | $1,995.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $977.24 Typical High $7,585.78 | Professional | 54 · Surgery only | $309.03 | $977.24 | $7,585.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $194.98 Typical High $1,513.56 | Professional | 55 · Aftercare only | $61.66 | $194.98 | $1,513.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $131.83 Typical High $1,000.00 | Professional | 56 · Pre-op care only | $40.74 | $131.83 | $1,000.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $912.01 Typical High $7,079.46 | Professional | 78 · Unplanned return to OR | $288.40 | $912.01 | $7,079.46 |
Where Mississippi sits
The same service costs 18.4 times more in Alabama 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
AL $30,876MT $1,679
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.