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 $10.00 Median $10.00 Typical High $30.20 | Facility | None | $10.00 | $10.00 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $18.62 Typical High $30.20 | Professional | None | $10.00 | $18.62 | $30.20 |
Ambetter Setting Professional Modifier None Typical Low $16.60 Median $21.88 Typical High $27.54 | Professional | None | $16.60 | $21.88 | $27.54 |
BCBS Mississippi Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
BCBS Mississippi Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $27.54 | Professional | None | $12.02 | $12.02 | $27.54 |
United Setting Facility Modifier None Typical Low $89.13 Median $131.83 Typical High $147.91 | Facility | None | $89.13 | $131.83 | $147.91 |
United Setting Professional Modifier None Typical Low $13.18 Median $19.05 Typical High $28.18 | Professional | None | $13.18 | $19.05 | $28.18 |
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 $5.01 Median $9.33 Typical High $15.14 | Professional | 52 · Reduced service | $5.01 | $9.33 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $3.72 Typical High $6.03 | Professional | 53 · Discontinued | $2.00 | $3.72 | $6.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.51 Median $2.82 Typical High $4.47 | Professional | 55 · Aftercare only | $1.51 | $2.82 | $4.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $1.86 Typical High $3.02 | Professional | 56 · Pre-op care only | $1.00 | $1.86 | $3.02 |
Where Mississippi sits
The same service costs 5.4 times more in Vermont than in Kansas. 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· 22nd of 51
$25.70
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.