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 $30.90 Median $41.69 Typical High $123.03 | Facility | None | $30.90 | $41.69 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $61.66 Typical High $131.83 | Professional | None | $30.90 | $61.66 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $30.90 Typical High $66.07 | Professional | 52 · Reduced service | $15.49 | $30.90 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $12.30 Typical High $26.30 | Professional | 53 · Discontinued | $6.17 | $12.30 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.68 Median $9.33 Typical High $19.95 | Professional | 55 · Aftercare only | $4.68 | $9.33 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $6.17 Typical High $13.18 | Professional | 56 · Pre-op care only | $3.09 | $6.17 | $13.18 |
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 $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $79.43 Typical High $87.10 | Professional | None | $25.12 | $79.43 | $87.10 |
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 $28.18 Median $43.65 Typical High $95.50 | Professional | None | $28.18 | $43.65 | $95.50 |
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 3.5 times more in Hawaii 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· 36th of 51
$56.23
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.