How much rates vary
Facilitymedian $1,445 · 10th to 90th $692 to $4,677Professionalmedian $347 · 10th to 90th $224 to $631
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 $257.04 Median $758.58 Typical High $1,819.70 | Facility | None | $257.04 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $549.54 Typical High $630.96 | Professional | None | $251.19 | $549.54 | $630.96 |
Ambetter Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
BCBS Mississippi Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,621.81 Typical High $3,235.94 | Facility | None | $630.96 | $1,621.81 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $338.84 Typical High $549.54 | Professional | None | $234.42 | $338.84 | $549.54 |
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 $6,606.93 | Facility | None | $758.58 | $1,412.54 | $6,606.93 |
United Setting Professional Modifier None Typical Low $234.42 Median $275.42 Typical High $660.69 | Professional | None | $234.42 | $275.42 | $660.69 |
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 $128.82 Median $316.23 Typical High $316.23 | Professional | 52 · Reduced service | $128.82 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $125.89 Typical High $125.89 | Professional | 53 · Discontinued | $51.29 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $194.98 Median $478.63 Typical High $478.63 | Professional | 54 · Surgery only | $194.98 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $95.50 Typical High $95.50 | Professional | 55 · Aftercare only | $38.90 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $63.10 Typical High $63.10 | Professional | 56 · Pre-op care only | $25.70 | $63.10 | $63.10 |
Where Mississippi sits
The same service costs 8.5 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 $6,252MT $735
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.