How much rates vary
Facilitymedian $1,288 · 10th to 90th $468 to $3,548Professionalmedian $158 · 10th to 90th $76 to $447
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 $138.04 Median $549.54 Typical High $1,819.70 | Facility | None | $138.04 | $549.54 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $151.36 Typical High $338.84 | Professional | None | $67.61 | $151.36 | $338.84 |
Ambetter Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $245.47 | Professional | None | $67.61 | $67.61 | $245.47 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $3,548.13 | Facility | None | $2,454.71 | $2,454.71 | $3,548.13 |
BCBS Mississippi Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,174.90 Typical High $2,398.83 | Facility | None | $630.96 | $1,174.90 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $158.49 Typical High $281.84 | Professional | None | $93.33 | $158.49 | $281.84 |
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 $467.74 Median $812.83 Typical High $5,248.07 | Facility | None | $467.74 | $812.83 | $5,248.07 |
United Setting Professional Modifier None Typical Low $75.86 Median $158.49 Typical High $346.74 | Professional | None | $75.86 | $158.49 | $346.74 |
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 $30.90 Median $75.86 Typical High $169.82 | Professional | 52 · Reduced service | $30.90 | $75.86 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $30.90 Typical High $67.61 | Professional | 53 · Discontinued | $12.59 | $30.90 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $46.77 Median $114.82 Typical High $257.04 | Professional | 54 · Surgery only | $46.77 | $114.82 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $22.91 Typical High $51.29 | Professional | 55 · Aftercare only | $9.33 | $22.91 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $15.14 Typical High $33.88 | Professional | 56 · Pre-op care only | $6.17 | $15.14 | $33.88 |
Where Mississippi sits
The same service costs 9.7 times more in Colorado 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
CO $4,351MT $447
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.