How much rates vary
Facilitymedian $1,122 · 10th to 90th $525 to $4,365Professionalmedian $355 · 10th to 90th $251 to $631
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 $245.47 Median $616.60 Typical High $630.96 | Professional | None | $245.47 | $616.60 | $630.96 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
BCBS Mississippi Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,023.29 Typical High $2,089.30 | Facility | None | $436.52 | $1,023.29 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $354.81 Typical High $371.54 | Professional | None | $190.55 | $354.81 | $371.54 |
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 $4,786.30 | Facility | None | $758.58 | $1,412.54 | $4,786.30 |
United Setting Professional Modifier None Typical Low $251.19 Median $281.84 Typical High $562.34 | Professional | None | $251.19 | $281.84 | $562.34 |
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 $123.03 Median $302.00 Typical High $316.23 | Professional | 52 · Reduced service | $123.03 | $302.00 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $123.03 Typical High $125.89 | Professional | 53 · Discontinued | $48.98 | $123.03 | $125.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $457.09 Typical High $478.63 | Professional | 54 · Surgery only | $181.97 | $457.09 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $91.20 Typical High $95.50 | Professional | 55 · Aftercare only | $36.31 | $91.20 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $61.66 Typical High $63.10 | Professional | 56 · Pre-op care only | $24.55 | $61.66 | $63.10 |
Where Mississippi sits
The same service costs 6.4 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 $4,783MT $743
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.