How much rates vary
Facilitymedian $1,148 · 10th to 90th $692 to $4,074Professionalmedian $339 · 10th to 90th $174 to $741
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 $323.59 Median $758.58 Typical High $1,819.70 | Facility | None | $323.59 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $446.68 Typical High $776.25 | Professional | None | $186.21 | $446.68 | $776.25 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
BCBS Mississippi Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,047.13 Typical High $2,089.30 | Facility | None | $630.96 | $1,047.13 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $257.04 Typical High $436.52 | Professional | None | $177.83 | $257.04 | $436.52 |
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 $4,786.30 | Facility | None | $758.58 | $1,412.54 | $4,786.30 |
United Setting Professional Modifier None Typical Low $169.82 Median $295.12 Typical High $575.44 | Professional | None | $169.82 | $295.12 | $575.44 |
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 $93.33 Median $223.87 Typical High $380.19 | Professional | 52 · Reduced service | $93.33 | $223.87 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $89.13 Typical High $154.88 | Professional | 53 · Discontinued | $37.15 | $89.13 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $331.13 Typical High $575.44 | Professional | 54 · Surgery only | $141.25 | $331.13 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $66.07 Typical High $114.82 | Professional | 55 · Aftercare only | $28.18 | $66.07 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $44.67 Typical High $77.62 | Professional | 56 · Pre-op care only | $18.62 | $44.67 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $131.83 Median $309.03 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $131.83 | $309.03 | $537.03 |
Where Mississippi sits
The same service costs 6.3 times more in Colorado 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
CO $4,654MT $736
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.