How much rates vary
Facilitymedian $2,455 · 10th to 90th $724 to $8,318Professionalmedian $1,288 · 10th to 90th $708 to $2,138
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 $1,819.70 | Facility | None | $478.63 | $891.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $1,548.82 Typical High $1,737.80 | Professional | None | $724.44 | $1,548.82 | $1,737.80 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
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 $741.31 Median $1,318.26 Typical High $1,445.44 | Professional | None | $741.31 | $1,318.26 | $1,445.44 |
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 $1,174.90 Median $3,162.28 Typical High $9,772.37 | Facility | None | $1,174.90 | $3,162.28 | $9,772.37 |
United Setting Professional Modifier None Typical Low $741.31 Median $891.25 Typical High $1,995.26 | Professional | None | $741.31 | $891.25 | $1,995.26 |
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 $354.81 Median $758.58 Typical High $870.96 | Professional | 52 · Reduced service | $354.81 | $758.58 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $309.03 Typical High $346.74 | Professional | 53 · Discontinued | $144.54 | $309.03 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $1,148.15 Typical High $1,288.25 | Professional | 54 · Surgery only | $537.03 | $1,148.15 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $229.09 Typical High $257.04 | Professional | 55 · Aftercare only | $107.15 | $229.09 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $154.88 Typical High $173.78 | Professional | 56 · Pre-op care only | $72.44 | $154.88 | $173.78 |
Where Mississippi sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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
AK $9,843KY $2,122
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.