How much rates vary
Facilitymedian $468 · 10th to 90th $100 to $1,479Professionalmedian $1,549 · 10th to 90th $851 to $2,570
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 $478.63 Median $891.25 Typical High $1,995.26 | Facility | None | $478.63 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $1,905.46 Typical High $2,137.96 | Professional | None | $851.14 | $1,905.46 | $2,137.96 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $758.58 Typical High $1,737.80 | Facility | None | $588.84 | $758.58 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,584.89 Typical High $1,737.80 | Professional | None | $891.25 | $1,584.89 | $1,737.80 |
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 $89.13 Median $295.12 Typical High $1,318.26 | Facility | None | $89.13 | $295.12 | $1,318.26 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,023.29 Typical High $2,344.23 | Professional | None | $891.25 | $1,023.29 | $2,344.23 |
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 $436.52 Median $933.25 Typical High $1,071.52 | Professional | 52 · Reduced service | $436.52 | $933.25 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $380.19 Typical High $426.58 | Professional | 53 · Discontinued | $177.83 | $380.19 | $426.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $1,412.54 Typical High $1,584.89 | Professional | 54 · Surgery only | $660.69 | $1,412.54 | $1,584.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $281.84 Typical High $323.59 | Professional | 55 · Aftercare only | $131.83 | $281.84 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $190.55 Typical High $213.80 | Professional | 56 · Pre-op care only | $89.13 | $190.55 | $213.80 |
Where Mississippi sits
The same service costs 7.0 times more in Alabama than in Delaware. 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
AL $7,936DE $1,129
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.