How much rates vary
Facilitymedian $295 · 10th to 90th $91 to $1,000Professionalmedian $105 · 10th to 90th $51 to $209
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 $51.29 Median $758.58 Typical High $1,819.70 | Facility | None | $51.29 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $112.20 Typical High $208.93 | Professional | None | $51.29 | $112.20 | $208.93 |
Ambetter Setting Professional Modifier None Typical Low $48.98 Median $57.54 Typical High $134.90 | Professional | None | $48.98 | $57.54 | $134.90 |
BCBS Mississippi Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
BCBS Mississippi Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $89.13 Typical High $338.84 | Facility | None | $50.12 | $89.13 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $97.72 Typical High $165.96 | Professional | None | $50.12 | $97.72 | $165.96 |
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 $91.20 Median $316.23 Typical High $1,096.48 | Facility | None | $91.20 | $316.23 | $1,096.48 |
United Setting Professional Modifier None Typical Low $56.23 Median $100.00 Typical High $229.09 | Professional | None | $56.23 | $100.00 | $229.09 |
5 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 $25.12 Median $56.23 Typical High $104.71 | Professional | 52 · Reduced service | $25.12 | $56.23 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $22.39 Typical High $41.69 | Professional | 53 · Discontinued | $10.23 | $22.39 | $41.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $38.02 Median $85.11 Typical High $158.49 | Professional | 54 · Surgery only | $38.02 | $85.11 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $16.98 Typical High $31.62 | Professional | 55 · Aftercare only | $7.59 | $16.98 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $11.22 Typical High $20.89 | Professional | 56 · Pre-op care only | $5.13 | $11.22 | $20.89 |
Where Mississippi sits
The same service costs 12.9 times more in Colorado than in Maine. 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 $2,408ME $187
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.