How much rates vary
Facilitymedian $851 · 10th to 90th $372 to $2,570Professionalmedian $380 · 10th to 90th $224 to $1,096
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 $234.42 Median $1,000.00 Typical High $1,995.26 | Facility | None | $234.42 | $1,000.00 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $524.81 Typical High $1,096.48 | Professional | None | $234.42 | $524.81 | $1,096.48 |
BCBS Mississippi Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
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 $169.82 Median $380.19 Typical High $407.38 | Professional | None | $169.82 | $380.19 | $407.38 |
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 $223.87 Median $269.15 Typical High $630.96 | Professional | None | $223.87 | $269.15 | $630.96 |
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 $117.49 Median $263.03 Typical High $549.54 | Professional | 52 · Reduced service | $117.49 | $263.03 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $104.71 Typical High $218.78 | Professional | 53 · Discontinued | $46.77 | $104.71 | $218.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $389.05 Typical High $812.83 | Professional | 54 · Surgery only | $177.83 | $389.05 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $77.62 Typical High $162.18 | Professional | 55 · Aftercare only | $35.48 | $77.62 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $52.48 Typical High $109.65 | Professional | 56 · Pre-op care only | $23.44 | $52.48 | $109.65 |
Where Mississippi sits
The same service costs 7.3 times more in Alaska 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
AK $5,199MT $710
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.