How much rates vary
Facilitymedian $851 · 10th to 90th $372 to $2,570Professionalmedian $501 · 10th to 90th $295 to $1,445
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 $309.03 Median $1,000.00 Typical High $1,995.26 | Facility | None | $309.03 | $1,000.00 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $691.83 Typical High $1,445.44 | Professional | None | $309.03 | $691.83 | $1,445.44 |
BCBS Mississippi Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,000.00 Typical High $1,202.26 | Facility | None | $660.69 | $1,000.00 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $501.19 Typical High $537.03 | Professional | None | $288.40 | $501.19 | $537.03 |
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 $323.59 Median $691.83 Typical High $3,090.30 | Facility | None | $323.59 | $691.83 | $3,090.30 |
United Setting Professional Modifier None Typical Low $295.12 Median $354.81 Typical High $831.76 | Professional | None | $295.12 | $354.81 | $831.76 |
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 $154.88 Median $338.84 Typical High $724.44 | Professional | 52 · Reduced service | $154.88 | $338.84 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $138.04 Typical High $288.40 | Professional | 53 · Discontinued | $61.66 | $138.04 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $512.86 Typical High $1,071.52 | Professional | 54 · Surgery only | $234.42 | $512.86 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $102.33 Typical High $213.80 | Professional | 55 · Aftercare only | $46.77 | $102.33 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $69.18 Typical High $144.54 | Professional | 56 · Pre-op care only | $30.90 | $69.18 | $144.54 |
Where Mississippi sits
The same service costs 6.1 times more in Alaska than in Maryland. 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 $5,496MD $901
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.