How much rates vary
Facilitymedian $3,388 · 10th to 90th $513 to $13,183Professionalmedian $1,995 · 10th to 90th $427 to $10,000
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 $446.68 Median $1,000.00 Typical High $4,073.80 | Facility | None | $446.68 | $1,000.00 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $1,995.26 Typical High $18,620.87 | Professional | None | $426.58 | $1,995.26 | $18,620.87 |
BCBS Mississippi Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $562.34 | Facility | None | $512.86 | $512.86 | $562.34 |
BCBS Mississippi Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $6,456.54 Typical High $10,232.93 | Facility | None | $660.69 | $6,456.54 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $1,096.48 Typical High $7,244.36 | Professional | None | $416.87 | $1,096.48 | $7,244.36 |
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 $1,584.89 Median $6,456.54 Typical High $18,620.87 | Facility | None | $1,584.89 | $6,456.54 | $18,620.87 |
United Setting Professional Modifier None Typical Low $436.52 Median $4,073.80 Typical High $10,000.00 | Professional | None | $436.52 | $4,073.80 | $10,000.00 |
6 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 $213.80 Median $1,000.00 Typical High $9,332.54 | Professional | 52 · Reduced service | $213.80 | $1,000.00 | $9,332.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $398.11 Typical High $3,715.35 | Professional | 53 · Discontinued | $85.11 | $398.11 | $3,715.35 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $1,479.11 Typical High $14,125.38 | Professional | 54 · Surgery only | $323.59 | $1,479.11 | $14,125.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $295.12 Typical High $2,818.38 | Professional | 55 · Aftercare only | $64.57 | $295.12 | $2,818.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $199.53 Typical High $1,862.09 | Professional | 56 · Pre-op care only | $42.66 | $199.53 | $1,862.09 |
Ambetter Setting Professional Modifier XS · Separate structure Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | XS · Separate structure | $446.68 | $446.68 | $446.68 |
Where Mississippi sits
The same service costs 4.3 times more in Alabama than in Maine. 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 $20,420ME $4,758
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.