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 $144.54 Median $245.47 Typical High $245.47 | Facility | None | $144.54 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $144.54 Typical High $245.47 | Professional | None | $131.83 | $144.54 | $245.47 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $81.28 Median $109.65 Typical High $186.21 | Professional | UE · Used equipment | $81.28 | $109.65 | $186.21 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | RR · Rental | $24.55 | $24.55 | $24.55 |
BCBS Mississippi Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $37.15 | Facility | None | $33.88 | $33.88 | $37.15 |
BCBS Mississippi Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $177.83 | Professional | None | $151.36 | $151.36 | $177.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $15.14 Median $15.14 Typical High $17.78 | Professional | RR · Rental | $15.14 | $15.14 | $17.78 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | UE · Used equipment | $114.82 | $114.82 | $114.82 |
Molina Setting Professional Modifier None Typical Low $20.89 Median $32.36 Typical High $323.59 | Professional | None | $20.89 | $32.36 | $323.59 |
United Setting Professional Modifier None Typical Low $95.50 Median $128.82 Typical High $234.42 | Professional | None | $95.50 | $128.82 | $234.42 |
United Setting Professional Modifier RR · Rental Typical Low $11.22 Median $16.60 Typical High $29.51 | Professional | RR · Rental | $11.22 | $16.60 | $29.51 |
United Setting Professional Modifier UE · Used equipment Typical Low $69.18 Median $95.50 Typical High $177.83 | Professional | UE · Used equipment | $69.18 | $95.50 | $177.83 |
4 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 $72.44 Median $85.11 Typical High $123.03 | Professional | 52 · Reduced service | $72.44 | $85.11 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $33.88 Typical High $48.98 | Professional | 53 · Discontinued | $29.51 | $33.88 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $25.12 Typical High $37.15 | Professional | 55 · Aftercare only | $21.88 | $25.12 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $14.45 Typical High $15.49 | Professional | 56 · Pre-op care only | $14.45 | $14.45 | $15.49 |
Where Mississippi sits
The same service costs 22.4 times more in Kansas than in Illinois. 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· 49th of 51
$110
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.