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 $53.70 Median $72.44 Typical High $100.00 | Facility | None | $53.70 | $72.44 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $77.62 Typical High $114.82 | Professional | None | $61.66 | $77.62 | $114.82 |
Ambetter Setting Professional Modifier None Typical Low $104.71 Median $114.82 Typical High $117.49 | Professional | None | $104.71 | $114.82 | $117.49 |
BCBS Mississippi Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
BCBS Mississippi Setting Professional Modifier None Typical Low $104.71 Median $114.82 Typical High $114.82 | Professional | None | $104.71 | $114.82 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $128.82 Typical High $181.97 | Professional | None | $93.33 | $128.82 | $181.97 |
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 Professional Modifier None Typical Low $120.23 Median $128.82 Typical High $169.82 | Professional | None | $120.23 | $128.82 | $169.82 |
3 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $45.71 Typical High $52.48 | Professional | 52 · Reduced service | $36.31 | $45.71 | $52.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $13.80 Typical High $15.49 | Professional | 55 · Aftercare only | $10.72 | $13.80 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $9.12 Typical High $10.47 | Professional | 56 · Pre-op care only | $7.24 | $9.12 | $10.47 |
Where Mississippi sits
The same service costs 2.0 times more in Alaska 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· 48th of 51
$105
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.