How much rates vary
Facilitymedian $513 · 10th to 90th $309 to $1,585Professionalmedian $186 · 10th to 90th $100 to $324
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 $323.59 Median $776.25 Typical High $1,819.70 | Facility | None | $323.59 | $776.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $323.59 Typical High $323.59 | Professional | None | $102.33 | $323.59 | $323.59 |
Ambetter Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
BCBS Mississippi Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
BCBS Mississippi Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $416.87 Typical High $851.14 | Facility | None | $363.08 | $416.87 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $177.83 Typical High $251.19 | Professional | None | $97.72 | $177.83 | $251.19 |
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 $660.69 Typical High $1,819.70 | Facility | None | $302.00 | $660.69 | $1,819.70 |
United Setting Professional Modifier None Typical Low $100.00 Median $131.83 Typical High $275.42 | Professional | None | $100.00 | $131.83 | $275.42 |
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 $51.29 Median $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $51.29 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $20.42 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $245.47 Typical High $245.47 | Professional | 54 · Surgery only | $77.62 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $48.98 Typical High $48.98 | Professional | 55 · Aftercare only | $15.49 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $32.36 Typical High $32.36 | Professional | 56 · Pre-op care only | $10.23 | $32.36 | $32.36 |
Where Mississippi sits
The same service costs 8.1 times more in New York 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
NY $2,852MT $352
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.