How much rates vary
Facilitymedian $1,122 · 10th to 90th $708 to $3,715Professionalmedian $1,202 · 10th to 90th $646 to $2,138
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 $676.08 Median $891.25 Typical High $2,137.96 | Facility | None | $676.08 | $891.25 | $2,137.96 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $1,737.80 Typical High $2,137.96 | Professional | None | $676.08 | $1,737.80 | $2,137.96 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $954.99 Typical High $1,819.70 | Facility | None | $660.69 | $954.99 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $1,122.02 Typical High $1,258.93 | Professional | None | $537.03 | $1,122.02 | $1,258.93 |
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 $758.58 Median $1,412.54 Typical High $4,466.84 | Facility | None | $758.58 | $1,412.54 | $4,466.84 |
United Setting Professional Modifier None Typical Low $660.69 Median $758.58 Typical High $1,548.82 | Professional | None | $660.69 | $758.58 | $1,548.82 |
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 $331.13 Median $870.96 Typical High $1,071.52 | Professional | 52 · Reduced service | $331.13 | $870.96 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $346.74 Typical High $426.58 | Professional | 53 · Discontinued | $134.90 | $346.74 | $426.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $1,288.25 Typical High $1,584.89 | Professional | 54 · Surgery only | $501.19 | $1,288.25 | $1,584.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $257.04 Typical High $316.23 | Professional | 55 · Aftercare only | $100.00 | $257.04 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $173.78 Typical High $213.80 | Professional | 56 · Pre-op care only | $67.61 | $173.78 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $1,202.26 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $467.74 | $1,202.26 | $1,479.11 |
Where Mississippi sits
The same service costs 3.0 times more in Alaska than in Maryland. 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 $5,643MD $1,856
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.