How much rates vary
Facilitymedian $2,692 · 10th to 90th $1,148 to $7,762Professionalmedian $1,905 · 10th to 90th $1,259 to $2,818
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 $1,348.96 Typical High $2,818.38 | Facility | None | $776.25 | $1,348.96 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $2,818.38 Typical High $2,818.38 | Professional | None | $1,288.25 | $2,818.38 | $2,818.38 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | None | $2,238.72 | $2,238.72 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $2,884.03 Typical High $5,888.44 | Facility | None | $1,258.93 | $2,884.03 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,819.70 Typical High $2,137.96 | Professional | None | $1,023.29 | $1,819.70 | $2,137.96 |
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 $1,122.02 Median $2,511.89 Typical High $10,232.93 | Facility | None | $1,122.02 | $2,511.89 | $10,232.93 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,348.96 Typical High $2,818.38 | Professional | None | $1,258.93 | $1,348.96 | $2,818.38 |
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 $645.65 Median $1,412.54 Typical High $1,412.54 | Professional | 52 · Reduced service | $645.65 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $562.34 Typical High $562.34 | Professional | 53 · Discontinued | $257.04 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $977.24 Median $2,089.30 Typical High $2,089.30 | Professional | 54 · Surgery only | $977.24 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $426.58 Typical High $426.58 | Professional | 55 · Aftercare only | $194.98 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $281.84 Typical High $281.84 | Professional | 56 · Pre-op care only | $128.82 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $1,949.84 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $912.01 | $1,949.84 | $1,949.84 |
Where Mississippi sits
The same service costs 3.1 times more in Alaska than in Delaware. 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 $12,999DE $4,240
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.