How much rates vary
Facilitymedian $1,230 · 10th to 90th $525 to $2,399Professionalmedian $380 · 10th to 90th $214 to $525
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 $524.81 Median $776.25 Typical High $1,819.70 | Facility | None | $524.81 | $776.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $457.09 Typical High $524.81 | Professional | None | $213.80 | $457.09 | $524.81 |
Ambetter Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,398.83 | Facility | None | $1,737.80 | $1,737.80 | $2,398.83 |
BCBS Mississippi Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $891.25 Typical High $1,698.24 | Facility | None | $660.69 | $891.25 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $380.19 Typical High $436.52 | Professional | None | $239.88 | $380.19 | $436.52 |
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 $758.58 Typical High $3,090.30 | Facility | None | $467.74 | $758.58 | $3,090.30 |
United Setting Professional Modifier None Typical Low $223.87 Median $251.19 Typical High $562.34 | Professional | None | $223.87 | $251.19 | $562.34 |
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 $107.15 Median $229.09 Typical High $263.03 | Professional | 52 · Reduced service | $107.15 | $229.09 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $93.33 Typical High $104.71 | Professional | 53 · Discontinued | $43.65 | $93.33 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $346.74 Typical High $389.05 | Professional | 54 · Surgery only | $162.18 | $346.74 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $69.18 Typical High $77.62 | Professional | 55 · Aftercare only | $32.36 | $69.18 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.38 Median $45.71 Typical High $52.48 | Professional | 56 · Pre-op care only | $21.38 | $45.71 | $52.48 |
Where Mississippi sits
The same service costs 6.2 times more in Colorado 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
CO $4,689MT $752
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.