How much rates vary
Facilitymedian $1,549 · 10th to 90th $794 to $4,786Professionalmedian $708 · 10th to 90th $417 to $1,072
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 $758.58 Median $1,348.96 Typical High $2,818.38 | Facility | None | $758.58 | $1,348.96 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $912.01 Typical High $1,047.13 | Professional | None | $426.58 | $912.01 | $1,047.13 |
Ambetter Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $537.03 | Professional | None | $489.78 | $489.78 | $537.03 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,071.52 | $1,071.52 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $1,659.59 Typical High $3,162.28 | Facility | None | $1,258.93 | $1,659.59 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $758.58 Typical High $812.83 | Professional | None | $354.81 | $758.58 | $812.83 |
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 $6,025.60 | Facility | None | $758.58 | $1,412.54 | $6,025.60 |
United Setting Professional Modifier None Typical Low $426.58 Median $478.63 Typical High $1,071.52 | Professional | None | $426.58 | $478.63 | $1,071.52 |
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 $213.80 Median $457.09 Typical High $524.81 | Professional | 52 · Reduced service | $213.80 | $457.09 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $181.97 Typical High $208.93 | Professional | 53 · Discontinued | $85.11 | $181.97 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $691.83 Typical High $776.25 | Professional | 54 · Surgery only | $323.59 | $691.83 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $138.04 Typical High $154.88 | Professional | 55 · Aftercare only | $64.57 | $138.04 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $91.20 Typical High $104.71 | Professional | 56 · Pre-op care only | $42.66 | $91.20 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $645.65 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $302.00 | $645.65 | $724.44 |
Where Mississippi sits
The same service costs 5.4 times more in Alabama 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
AL $8,312MT $1,553
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.