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 $20.42 Median $20.42 Typical High $22.91 | Facility | None | $20.42 | $20.42 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $22.91 Typical High $22.91 | Professional | None | $19.50 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.55 Median $11.48 Typical High $11.48 | Professional | 52 · Reduced service | $9.55 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.68 Typical High $4.68 | Professional | 53 · Discontinued | $3.89 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.88 Median $3.47 Typical High $3.47 | Professional | 55 · Aftercare only | $2.88 | $3.47 | $3.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.95 Median $2.29 Typical High $2.29 | Professional | 56 · Pre-op care only | $1.95 | $2.29 | $2.29 |
BCBS Mississippi Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $18.20 | Facility | None | $16.98 | $16.98 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $21.88 Typical High $25.12 | Facility | None | $19.50 | $21.88 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
United Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
United Setting Professional Modifier None Typical Low $17.78 Median $18.62 Typical High $28.84 | Professional | None | $17.78 | $18.62 | $28.84 |
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 TB · 340B drug Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | TB · 340B drug | $15.85 | $15.85 | $15.85 |
Where Mississippi sits
The same service costs 1.9 times more in Alaska than in Rhode Island. 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
$18.62
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.