How much rates vary
Facilitymedian $832 · 10th to 90th $316 to $3,981Professionalmedian $661 · 10th to 90th $347 to $1,023
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 $416.87 Median $891.25 Typical High $1,819.70 | Facility | None | $416.87 | $891.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $1,023.29 Typical High $1,023.29 | Professional | None | $346.74 | $1,023.29 | $1,023.29 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
BCBS Mississippi Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $2,041.74 Typical High $3,235.94 | Facility | None | $436.52 | $2,041.74 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $588.84 Typical High $691.83 | Professional | None | $338.84 | $588.84 | $691.83 |
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 $302.00 Median $616.60 Typical High $4,365.16 | Facility | None | $302.00 | $616.60 | $4,365.16 |
United Setting Professional Modifier None Typical Low $354.81 Median $467.74 Typical High $831.76 | Professional | None | $354.81 | $467.74 | $831.76 |
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 $173.78 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $173.78 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $204.17 Typical High $204.17 | Professional | 53 · Discontinued | $69.18 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $758.58 Typical High $758.58 | Professional | 54 · Surgery only | $257.04 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $151.36 Typical High $151.36 | Professional | 55 · Aftercare only | $51.29 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $102.33 Typical High $102.33 | Professional | 56 · Pre-op care only | $34.67 | $102.33 | $102.33 |
Where Mississippi sits
The same service costs 5.2 times more in Alaska than in Delaware. 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
AK $4,868DE $935
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.