How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $89.13 Median $89.13 Typical High $147.91 | Facility | None | $89.13 | $89.13 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $89.13 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $44.67 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $17.78 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $21.88 Typical High $21.88 | Professional | 55 · Aftercare only | $13.18 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $14.79 Typical High $14.79 | Professional | 56 · Pre-op care only | $8.91 | $14.79 | $14.79 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $416.87 Typical High $478.63 | Facility | None | $117.49 | $416.87 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $79.43 Typical High $134.90 | Professional | None (both parts) | $63.10 | $79.43 | $134.90 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $467.74 Median $676.08 Typical High $758.58 | Facility | None | $467.74 | $676.08 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $97.72 Typical High $162.18 | Professional | None (both parts) | $87.10 | $97.72 | $162.18 |
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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $114.82 Typical High $147.91 | Professional | TC · Technical part | $91.20 | $114.82 | $147.91 |
Where Mississippi sits
The same service costs 2.9 times more in Alaska than in Florida. 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· 27th of 51
$100
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.