How much rates vary
Facilitymedian $871 · 10th to 90th $479 to $2,818Professionalmedian $324 · 10th to 90th $174 to $479
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 $407.38 Median $1,023.29 Typical High $2,818.38 | Facility | None | $407.38 | $1,023.29 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $407.38 Typical High $407.38 | Professional | None | $165.96 | $407.38 | $407.38 |
BCBS Mississippi Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
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 $660.69 Median $870.96 Typical High $1,659.59 | Facility | None | $660.69 | $870.96 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $323.59 Typical High $467.74 | Professional | None | $190.55 | $323.59 | $467.74 |
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 $758.58 Typical High $2,951.21 | Facility | None | $467.74 | $758.58 | $2,951.21 |
United Setting Professional Modifier None Typical Low $194.98 Median $239.88 Typical High $588.84 | Professional | None | $194.98 | $239.88 | $588.84 |
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 $83.18 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $83.18 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $33.11 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $309.03 Typical High $309.03 | Professional | 54 · Surgery only | $125.89 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $61.66 Typical High $61.66 | Professional | 55 · Aftercare only | $25.12 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $40.74 Typical High $40.74 | Professional | 56 · Pre-op care only | $16.60 | $40.74 | $40.74 |
Where Mississippi sits
The same service costs 7.6 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 $4,681MT $618
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.