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 $128.82 Median $128.82 Typical High $213.80 | Facility | None | $128.82 | $128.82 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $213.80 Typical High $213.80 | Professional | None | $128.82 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $64.57 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $25.70 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $32.36 Typical High $32.36 | Professional | 55 · Aftercare only | $19.05 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $21.38 Typical High $21.38 | Professional | 56 · Pre-op care only | $12.88 | $21.38 | $21.38 |
BCBS Mississippi Setting Facility Modifier None Typical Low $151.36 Median $158.49 Typical High $158.49 | Facility | None | $151.36 | $158.49 | $158.49 |
BCBS Mississippi Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $151.36 Typical High $181.97 | Professional | None | $114.82 | $151.36 | $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 Professional Modifier None Typical Low $109.65 Median $123.03 Typical High $194.98 | Professional | None | $109.65 | $123.03 | $194.98 |
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 59 · Distinct service Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 59 · Distinct service | $134.90 | $134.90 | $134.90 |
Where Mississippi sits
The same service costs 3.2 times more in Alaska than in Utah. 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· 18th of 51
$151
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.