How much rates vary
Facilitymedian $977 · 10th to 90th $468 to $2,818Professionalmedian $324 · 10th to 90th $195 to $589
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 $281.84 Median $758.58 Typical High $1,819.70 | Facility | None | $281.84 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $426.58 Typical High $630.96 | Professional | None | $190.55 | $426.58 | $630.96 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
BCBS Mississippi Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,071.52 Typical High $2,187.76 | Facility | None | $512.86 | $1,071.52 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $302.00 Typical High $467.74 | Professional | None | $186.21 | $302.00 | $467.74 |
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 $467.74 Median $812.83 Typical High $3,801.89 | Facility | None | $467.74 | $812.83 | $3,801.89 |
United Setting Professional Modifier None Typical Low $213.80 Median $316.23 Typical High $588.84 | Professional | None | $213.80 | $316.23 | $588.84 |
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 $95.50 Median $213.80 Typical High $316.23 | Professional | 52 · Reduced service | $95.50 | $213.80 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $85.11 Typical High $125.89 | Professional | 53 · Discontinued | $38.02 | $85.11 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $316.23 Typical High $467.74 | Professional | 54 · Surgery only | $144.54 | $316.23 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $63.10 Typical High $95.50 | Professional | 55 · Aftercare only | $28.84 | $63.10 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $42.66 Typical High $63.10 | Professional | 56 · Pre-op care only | $19.05 | $42.66 | $63.10 |
Ambetter Setting Professional Modifier 58 · Staged procedure Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 58 · Staged procedure | $104.71 | $104.71 | $104.71 |
Where Mississippi sits
The same service costs 6.1 times more in Michigan 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
MI $4,783MT $790
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.