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 $16.22 Median $25.12 Typical High $61.66 | Facility | None | $16.22 | $25.12 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $38.90 Typical High $61.66 | Professional | None | $16.22 | $38.90 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $19.50 Typical High $30.20 | Professional | 52 · Reduced service | $8.13 | $19.50 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $7.76 Typical High $12.30 | Professional | 53 · Discontinued | $3.24 | $7.76 | $12.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.40 Median $5.89 Typical High $9.12 | Professional | 55 · Aftercare only | $2.40 | $5.89 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.62 Median $3.89 Typical High $6.17 | Professional | 56 · Pre-op care only | $1.62 | $3.89 | $6.17 |
Ambetter Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
BCBS Mississippi Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
BCBS Mississippi Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $16.60 Typical High $151.36 | Facility | None | $13.49 | $16.60 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $42.66 Typical High $60.26 | Professional | None | $20.89 | $42.66 | $60.26 |
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 $91.20 Median $295.12 Typical High $1,096.48 | Facility | None | $91.20 | $295.12 | $1,096.48 |
United Setting Professional Modifier None Typical Low $17.38 Median $30.90 Typical High $74.13 | Professional | None | $17.38 | $30.90 | $74.13 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $38.90 Median $38.90 Typical High $45.71 | Professional | 50 · Both sides | $38.90 | $38.90 | $45.71 |
Where Mississippi sits
The same service costs 3.0 times more in Alaska than in Virginia. 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· 13th of 51
$38.90
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.