How much rates vary
Facilitymedian $851 · 10th to 90th $372 to $2,570Professionalmedian $407 · 10th to 90th $229 to $537
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 $218.78 Median $891.25 Typical High $1,995.26 | Facility | None | $218.78 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $537.03 Typical High $537.03 | Professional | None | $218.78 | $537.03 | $537.03 |
BCBS Mississippi Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,000.00 Typical High $1,202.26 | Facility | None | $660.69 | $1,000.00 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $407.38 Typical High $457.09 | Professional | None | $245.47 | $407.38 | $457.09 |
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 $251.19 Median $281.84 Typical High $602.56 | Professional | None | $251.19 | $281.84 | $602.56 |
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 $109.65 Median $269.15 Typical High $269.15 | Professional | 52 · Reduced service | $109.65 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $43.65 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $407.38 Typical High $407.38 | Professional | 54 · Surgery only | $165.96 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $81.28 Typical High $81.28 | Professional | 55 · Aftercare only | $33.11 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $53.70 Typical High $53.70 | Professional | 56 · Pre-op care only | $21.88 | $53.70 | $53.70 |
Where Mississippi sits
The same service costs 32.0 times more in Maine 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
ME $26,674MT $834
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.