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 $50.12 Median $66.07 Typical High $128.82 | Facility | None | $50.12 | $66.07 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $91.20 Typical High $134.90 | Professional | None | $50.12 | $91.20 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $45.71 Typical High $67.61 | Professional | 52 · Reduced service | $25.12 | $45.71 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $18.20 Typical High $26.92 | Professional | 53 · Discontinued | $10.00 | $18.20 | $26.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $13.80 Typical High $19.95 | Professional | 55 · Aftercare only | $7.41 | $13.80 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $9.12 Typical High $13.49 | Professional | 56 · Pre-op care only | $5.01 | $9.12 | $13.49 |
BCBS Mississippi Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
BCBS Mississippi Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $81.28 Typical High $100.00 | Professional | None | $41.69 | $81.28 | $100.00 |
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 $562.34 Median $812.83 Typical High $912.01 | Facility | None | $562.34 | $812.83 | $912.01 |
United Setting Professional Modifier None Typical Low $30.20 Median $54.95 Typical High $100.00 | Professional | None | $30.20 | $54.95 | $100.00 |
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 |
|---|---|---|---|---|---|
United Setting Professional Modifier XC Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | XC | $501.19 | $501.19 | $501.19 |
Where Mississippi sits
The same service costs 2.8 times more in Alaska than in Maryland. 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· 23rd of 51
$81.28
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.