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 $69.18 Median $69.18 Typical High $177.83 | Facility | None | $69.18 | $69.18 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $177.83 Typical High $177.83 | Professional | None | $69.18 | $177.83 | $177.83 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
BCBS Mississippi Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,659.59 Typical High $3,235.94 | Facility | None | $436.52 | $1,659.59 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $134.90 Typical High $181.97 | Professional | None | $93.33 | $134.90 | $181.97 |
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 $6,165.95 | Facility | None | $758.58 | $1,412.54 | $6,165.95 |
United Setting Professional Modifier None Typical Low $95.50 Median $109.65 Typical High $213.80 | Professional | None | $95.50 | $109.65 | $213.80 |
4 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 $34.67 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $34.67 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $14.13 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $26.30 Typical High $26.30 | Professional | 55 · Aftercare only | $10.47 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $17.78 Typical High $17.78 | Professional | 56 · Pre-op care only | $6.92 | $17.78 | $17.78 |
Where Mississippi sits
The same service costs 7.9 times more in Kansas than in New York. 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· 19th of 51
$182
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.