How much rates vary
Facilitymedian $1,259 · 10th to 90th $708 to $4,467Professionalmedian $661 · 10th to 90th $309 to $1,202
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 $630.96 Median $851.14 Typical High $1,995.26 | Facility | None | $630.96 | $851.14 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $660.69 Typical High $741.31 | Professional | None | $309.03 | $660.69 | $741.31 |
Ambetter Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,202.26 Typical High $2,398.83 | Facility | None | $660.69 | $1,202.26 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $741.31 Typical High $1,023.29 | Professional | None | $281.84 | $741.31 | $1,023.29 |
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 $5,370.32 | Facility | None | $758.58 | $1,412.54 | $5,370.32 |
United Setting Professional Modifier None Typical Low $323.59 Median $588.84 Typical High $1,288.25 | Professional | None | $323.59 | $588.84 | $1,288.25 |
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 $154.88 Median $331.13 Typical High $371.54 | Professional | 52 · Reduced service | $154.88 | $331.13 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $131.83 Typical High $151.36 | Professional | 53 · Discontinued | $61.66 | $131.83 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $501.19 Typical High $562.34 | Professional | 54 · Surgery only | $234.42 | $501.19 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $100.00 Typical High $112.20 | Professional | 55 · Aftercare only | $46.77 | $100.00 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $66.07 Typical High $74.13 | Professional | 56 · Pre-op care only | $30.90 | $66.07 | $74.13 |
Where Mississippi sits
The same service costs 6.1 times more in Oklahoma 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
OK $6,602MT $1,074
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.