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 $20.42 Median $27.54 Typical High $97.72 | Facility | None | $20.42 | $27.54 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $40.74 Typical High $107.15 | Professional | None | $20.42 | $40.74 | $107.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $20.42 Typical High $53.70 | Professional | 52 · Reduced service | $10.23 | $20.42 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $8.13 Typical High $21.38 | Professional | 53 · Discontinued | $4.07 | $8.13 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.09 Median $6.17 Typical High $16.22 | Professional | 55 · Aftercare only | $3.09 | $6.17 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.04 Median $4.07 Typical High $10.72 | Professional | 56 · Pre-op care only | $2.04 | $4.07 | $10.72 |
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 $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
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 $16.60 Median $63.10 Typical High $69.18 | Professional | None | $16.60 | $63.10 | $69.18 |
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 $19.05 Median $33.88 Typical High $74.13 | Professional | None | $19.05 | $33.88 | $74.13 |
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 4.4 times more in Hawaii than in Washington, DC. 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· 28th of 51
$46.77
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.