How much rates vary
Facilitymedian $11,482 · 10th to 90th $1,122 to $28,840Professionalmedian $5,623 · 10th to 90th $501 to $14,454
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 $1,412.54 Typical High $4,786.30 | Facility | None | $758.58 | $1,412.54 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $2,344.23 Typical High $21,877.62 | Professional | None | $512.86 | $2,344.23 | $21,877.62 |
BCBS Mississippi Setting Facility Modifier None Typical Low $14,125.38 Median $14,125.38 Typical High $14,125.38 | Facility | None | $14,125.38 | $14,125.38 | $14,125.38 |
BCBS Mississippi Setting Professional Modifier None Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Professional | None | $8,317.64 | $8,317.64 | $8,317.64 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $11,748.98 Typical High $18,620.87 | Facility | None | $660.69 | $11,748.98 | $18,620.87 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $1,230.27 Typical High $10,000.00 | Professional | None | $489.78 | $1,230.27 | $10,000.00 |
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 $2,137.96 Median $12,589.25 Typical High $31,622.78 | Facility | None | $2,137.96 | $12,589.25 | $31,622.78 |
United Setting Professional Modifier None Typical Low $489.78 Median $5,623.41 Typical High $12,882.50 | Professional | None | $489.78 | $5,623.41 | $12,882.50 |
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 $257.04 Median $1,174.90 Typical High $10,964.78 | Professional | 52 · Reduced service | $257.04 | $1,174.90 | $10,964.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $478.63 Typical High $4,365.16 | Professional | 53 · Discontinued | $102.33 | $478.63 | $4,365.16 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $1,778.28 Typical High $16,595.87 | Professional | 54 · Surgery only | $380.19 | $1,778.28 | $16,595.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $354.81 Typical High $3,311.31 | Professional | 55 · Aftercare only | $75.86 | $354.81 | $3,311.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $234.42 Typical High $2,187.76 | Professional | 56 · Pre-op care only | $51.29 | $234.42 | $2,187.76 |
Where Mississippi sits
The same service costs 6.1 times more in Alaska than in Vermont. 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 $33,081VT $5,424
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.