How much rates vary
Facilitymedian $2,692 · 10th to 90th $1,122 to $7,762Professionalmedian $1,479 · 10th to 90th $955 to $2,089
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 $1,380.38 Typical High $2,818.38 | Facility | None | $776.25 | $1,380.38 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $2,089.30 Typical High $2,089.30 | Professional | None | $954.99 | $2,089.30 | $2,089.30 |
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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
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 $758.58 Median $1,412.54 Typical High $1,659.59 | Professional | None | $758.58 | $1,412.54 | $1,659.59 |
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 $954.99 Median $1,023.29 Typical High $2,137.96 | Professional | None | $954.99 | $1,023.29 | $2,137.96 |
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 $478.63 Median $1,047.13 Typical High $1,047.13 | Professional | 52 · Reduced service | $478.63 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $416.87 Typical High $416.87 | Professional | 53 · Discontinued | $190.55 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $1,548.82 Typical High $1,548.82 | Professional | 54 · Surgery only | $724.44 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $316.23 Typical High $316.23 | Professional | 55 · Aftercare only | $144.54 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $208.93 Typical High $208.93 | Professional | 56 · Pre-op care only | $95.50 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $1,479.11 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $676.08 | $1,479.11 | $1,479.11 |
Where Mississippi sits
The same service costs 3.6 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 $11,248MT $3,134
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.