How much rates vary
Facilitymedian $3,981 · 10th to 90th $1,175 to $15,136Professionalmedian $933 · 10th to 90th $631 to $1,318
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 $758.58 Median $1,380.38 Typical High $2,818.38 | Facility | None | $758.58 | $1,380.38 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $758.58 Typical High $1,122.02 | Professional | None | $660.69 | $758.58 | $1,122.02 |
Ambetter Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,318.26 | Professional | None | $870.96 | $870.96 | $1,318.26 |
BCBS Mississippi Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $6,760.83 Median $8,128.31 Typical High $15,135.61 | Facility | None | $6,760.83 | $8,128.31 | $15,135.61 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $954.99 Typical High $1,230.27 | Professional | None | $616.60 | $954.99 | $1,230.27 |
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 $1,380.38 Median $3,311.31 Typical High $15,488.17 | Facility | None | $1,380.38 | $3,311.31 | $15,488.17 |
United Setting Professional Modifier None Typical Low $630.96 Median $758.58 Typical High $1,584.89 | Professional | None | $630.96 | $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 $338.84 Median $380.19 Typical High $562.34 | Professional | 52 · Reduced service | $338.84 | $380.19 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $151.36 Typical High $223.87 | Professional | 53 · Discontinued | $134.90 | $151.36 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $575.44 Typical High $831.76 | Professional | 54 · Surgery only | $501.19 | $575.44 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $114.82 Typical High $165.96 | Professional | 55 · Aftercare only | $100.00 | $114.82 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $75.86 Typical High $112.20 | Professional | 56 · Pre-op care only | $67.61 | $75.86 | $112.20 |
Where Mississippi sits
The same service costs 9.6 times more in Oklahoma 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
OK $19,472MT $2,030
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.