How much rates vary
Facilitymedian $851 · 10th to 90th $490 to $2,692Professionalmedian $389 · 10th to 90th $186 to $794
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 $549.54 Median $776.25 Typical High $1,819.70 | Facility | None | $549.54 | $776.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $389.05 Typical High $562.34 | Professional | None | $181.97 | $389.05 | $562.34 |
Ambetter Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
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 $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $891.25 Typical High $1,737.80 | Facility | None | $630.96 | $891.25 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $316.23 Typical High $707.95 | Professional | None | $245.47 | $316.23 | $707.95 |
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 $3,311.31 | Facility | None | $467.74 | $758.58 | $3,311.31 |
United Setting Professional Modifier None Typical Low $186.21 Median $295.12 Typical High $562.34 | Professional | None | $186.21 | $295.12 | $562.34 |
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 $91.20 Median $190.55 Typical High $281.84 | Professional | 52 · Reduced service | $91.20 | $190.55 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $77.62 Typical High $112.20 | Professional | 53 · Discontinued | $36.31 | $77.62 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $288.40 Typical High $416.87 | Professional | 54 · Surgery only | $138.04 | $288.40 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $57.54 Typical High $85.11 | Professional | 55 · Aftercare only | $27.54 | $57.54 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $38.90 Typical High $56.23 | Professional | 56 · Pre-op care only | $18.20 | $38.90 | $56.23 |
Where Mississippi sits
The same service costs 6.8 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 $4,179MT $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.