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 $60.26 Median $79.43 Typical High $154.88 | Facility | None | $60.26 | $79.43 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $109.65 Typical High $154.88 | Professional | None | $60.26 | $109.65 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $54.95 Typical High $77.62 | Professional | 52 · Reduced service | $30.20 | $54.95 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $21.88 Typical High $30.90 | Professional | 53 · Discontinued | $12.02 | $21.88 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $16.60 Typical High $23.44 | Professional | 55 · Aftercare only | $8.91 | $16.60 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $10.96 Typical High $15.49 | Professional | 56 · Pre-op care only | $6.03 | $10.96 | $15.49 |
BCBS Mississippi Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
BCBS Mississippi Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
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 $48.98 Median $97.72 Typical High $112.20 | Professional | None | $48.98 | $97.72 | $112.20 |
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 $165.96 Median $239.88 Typical High $269.15 | Facility | None | $165.96 | $239.88 | $269.15 |
United Setting Professional Modifier None Typical Low $30.20 Median $61.66 Typical High $114.82 | Professional | None | $30.20 | $61.66 | $114.82 |
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· 17th of 51
$97.72
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.