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 $57.54 Median $57.54 Typical High $66.07 | Facility | None | $57.54 | $57.54 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $66.07 Typical High $66.07 | Professional | None | $54.95 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $27.54 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $10.96 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $10.00 Typical High $10.00 | Professional | 55 · Aftercare only | $8.32 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $6.61 Typical High $6.61 | Professional | 56 · Pre-op care only | $5.50 | $6.61 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $58.88 Typical High $79.43 | Facility | None | $54.95 | $58.88 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
United Setting Professional Modifier None Typical Low $52.48 Median $54.95 Typical High $95.50 | Professional | None | $52.48 | $54.95 | $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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier JZ · No drug discarded Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | JZ · No drug discarded | $54.95 | $54.95 | $54.95 |
Where Mississippi sits
The same service costs 2.7 times more in Oklahoma than in West Virginia. 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
$54.95
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.