How much rates vary
Facilitymedian $759 · 10th to 90th $331 to $2,884Professionalmedian $331 · 10th to 90th $191 to $933
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 $199.53 Median $933.25 Typical High $1,995.26 | Facility | None | $199.53 | $933.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $446.68 Typical High $933.25 | Professional | None | $199.53 | $446.68 | $933.25 |
BCBS Mississippi Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
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 $190.55 Median $331.13 Typical High $371.54 | Professional | None | $190.55 | $331.13 | $371.54 |
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 $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 $190.55 Median $234.42 Typical High $524.81 | Professional | None | $190.55 | $234.42 | $524.81 |
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 $100.00 Median $223.87 Typical High $467.74 | Professional | 52 · Reduced service | $100.00 | $223.87 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $89.13 Typical High $186.21 | Professional | 53 · Discontinued | $40.74 | $89.13 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $331.13 Typical High $707.95 | Professional | 54 · Surgery only | $151.36 | $331.13 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $67.61 Typical High $141.25 | Professional | 55 · Aftercare only | $30.20 | $67.61 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $44.67 Typical High $93.33 | Professional | 56 · Pre-op care only | $19.95 | $44.67 | $93.33 |
Where Mississippi sits
The same service costs 43.4 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 $25,986MT $598
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.