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 $223.87 Median $758.58 Typical High $1,819.70 | Facility | None | $223.87 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $223.87 Typical High $1,047.13 | Professional | None | $47.86 | $223.87 | $1,047.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.99 Median $109.65 Typical High $524.81 | Professional | 52 · Reduced service | $23.99 | $109.65 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $44.67 Typical High $208.93 | Professional | 53 · Discontinued | $9.55 | $44.67 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $35.48 Median $165.96 Typical High $794.33 | Professional | 54 · Surgery only | $35.48 | $165.96 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $33.11 Typical High $158.49 | Professional | 55 · Aftercare only | $7.24 | $33.11 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $22.39 Typical High $104.71 | Professional | 56 · Pre-op care only | $4.79 | $22.39 | $104.71 |
Ambetter Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
BCBS Mississippi Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $245.47 Typical High $501.19 | Professional | None | $61.66 | $245.47 | $501.19 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $181.97 | Professional | None | $33.11 | $33.11 | $181.97 |
United Setting Facility Modifier None Typical Low $223.87 Median $562.34 Typical High $1,621.81 | Facility | None | $223.87 | $562.34 | $1,621.81 |
United Setting Professional Modifier None Typical Low $46.77 Median $263.03 Typical High $562.34 | Professional | None | $46.77 | $263.03 | $562.34 |
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 $69.18 Median $69.18 Typical High $69.18 | Professional | 50 · Both sides | $69.18 | $69.18 | $69.18 |
Where Mississippi sits
The same service costs 4.9 times more in Iowa than in Nebraska. 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· 24th of 51
$263
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.