How much rates vary
Facilitymedian $3,802 · 10th to 90th $977 to $7,762Professionalmedian $851 · 10th to 90th $646 to $1,660
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 $691.83 Median $1,202.26 Typical High $2,818.38 | Facility | None | $691.83 | $1,202.26 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $1,584.89 Typical High $1,659.59 | Professional | None | $630.96 | $1,584.89 | $1,659.59 |
BCBS Mississippi Setting Facility Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Facility | None | $5,248.07 | $5,248.07 | $5,248.07 |
BCBS Mississippi Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $3,801.89 Typical High $6,025.60 | Facility | None | $660.69 | $3,801.89 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $870.96 Typical High $1,071.52 | Professional | None | $501.19 | $870.96 | $1,071.52 |
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 $1,148.15 Median $2,511.89 Typical High $9,772.37 | Facility | None | $1,148.15 | $2,511.89 | $9,772.37 |
United Setting Professional Modifier None Typical Low $645.65 Median $758.58 Typical High $1,584.89 | Professional | None | $645.65 | $758.58 | $1,584.89 |
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 $316.23 Median $794.33 Typical High $831.76 | Professional | 52 · Reduced service | $316.23 | $794.33 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $316.23 Typical High $331.13 | Professional | 53 · Discontinued | $125.89 | $316.23 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $1,202.26 Typical High $1,258.93 | Professional | 54 · Surgery only | $478.63 | $1,202.26 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $239.88 Typical High $251.19 | Professional | 55 · Aftercare only | $95.50 | $239.88 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $158.49 Typical High $165.96 | Professional | 56 · Pre-op care only | $63.10 | $158.49 | $165.96 |
Where Mississippi sits
The same service costs 5.9 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 $12,304MT $2,095
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.