How much rates vary
Facilitymedian $759 · 10th to 90th $457 to $2,630Professionalmedian $490 · 10th to 90th $240 to $933
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 $776.25 Typical High $1,819.70 | Facility | None | $416.87 | $776.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $616.60 Typical High $758.58 | Professional | None | $239.88 | $616.60 | $758.58 |
BCBS Mississippi Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
BCBS Mississippi Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $707.95 Typical High $1,445.44 | Facility | None | $436.52 | $707.95 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $436.52 Typical High $616.60 | Professional | None | $257.04 | $436.52 | $616.60 |
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 $3,090.30 | Facility | None | $467.74 | $758.58 | $3,090.30 |
United Setting Professional Modifier None Typical Low $251.19 Median $467.74 Typical High $912.01 | Professional | None | $251.19 | $467.74 | $912.01 |
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 $120.23 Median $309.03 Typical High $380.19 | Professional | 52 · Reduced service | $120.23 | $309.03 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $123.03 Typical High $154.88 | Professional | 53 · Discontinued | $47.86 | $123.03 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $467.74 Typical High $575.44 | Professional | 54 · Surgery only | $181.97 | $467.74 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $93.33 Typical High $114.82 | Professional | 55 · Aftercare only | $36.31 | $93.33 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $61.66 Typical High $75.86 | Professional | 56 · Pre-op care only | $23.99 | $61.66 | $75.86 |
Where Mississippi sits
The same service costs 6.0 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 $4,737MT $787
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.