How much rates vary
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 $41.69 Median $758.58 Typical High $1,819.70 | Facility | None | $41.69 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $50.12 Typical High $91.20 | Professional | None | $22.91 | $50.12 | $91.20 |
BCBS Mississippi Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
BCBS Mississippi Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $89.13 Typical High $338.84 | Facility | None | $50.12 | $89.13 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $38.90 Typical High $61.66 | Professional | None | $20.89 | $38.90 | $61.66 |
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 $89.13 Median $223.87 Typical High $1,096.48 | Facility | None | $89.13 | $223.87 | $1,096.48 |
United Setting Professional Modifier None Typical Low $24.55 Median $41.69 Typical High $69.18 | Professional | None | $24.55 | $41.69 | $69.18 |
6 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 $11.48 Median $25.70 Typical High $45.71 | Professional | 52 · Reduced service | $11.48 | $25.70 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $10.23 Typical High $18.62 | Professional | 53 · Discontinued | $4.68 | $10.23 | $18.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $17.38 Median $38.02 Typical High $69.18 | Professional | 54 · Surgery only | $17.38 | $38.02 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.47 Median $7.59 Typical High $13.80 | Professional | 55 · Aftercare only | $3.47 | $7.59 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $5.13 Typical High $9.12 | Professional | 56 · Pre-op care only | $2.29 | $5.13 | $9.12 |
Ambetter Setting Professional Modifier Q8 · Foot care: two class B findings Typical Low $22.39 Median $22.39 Typical High $46.77 | Professional | Q8 · Foot care: two class B findings | $22.39 | $22.39 | $46.77 |
Where Mississippi sits
The same service costs 3.5 times more in Alaska than in New Jersey. 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.
Mississippi· 12th of 51
$56.23
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.