How much rates vary
Facilitymedian $1,585 · 10th to 90th $708 to $6,166Professionalmedian $692 · 10th to 90th $363 to $1,230
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 $630.96 Median $891.25 Typical High $1,995.26 | Facility | None | $630.96 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $1,047.13 Typical High $1,071.52 | Professional | None | $363.08 | $1,047.13 | $1,071.52 |
Ambetter Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $407.38 | Professional | None | $389.05 | $389.05 | $407.38 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $2,570.40 Typical High $4,073.80 | Facility | None | $660.69 | $2,570.40 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $691.83 Typical High $870.96 | Professional | None | $288.40 | $691.83 | $870.96 |
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 $758.58 Median $1,412.54 Typical High $7,585.78 | Facility | None | $758.58 | $1,412.54 | $7,585.78 |
United Setting Professional Modifier None Typical Low $380.19 Median $524.81 Typical High $1,023.29 | Professional | None | $380.19 | $524.81 | $1,023.29 |
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 $181.97 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $181.97 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $72.44 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $812.83 Typical High $812.83 | Professional | 54 · Surgery only | $275.42 | $812.83 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $162.18 Typical High $162.18 | Professional | 55 · Aftercare only | $54.95 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $36.31 | $107.15 | $107.15 |
Where Mississippi sits
The same service costs 6.4 times more in Alaska 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
AK $7,574MT $1,191
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.