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 $33.88 Median $33.88 Typical High $40.74 | Facility | None | $33.88 | $33.88 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $40.74 Typical High $40.74 | Professional | None | $33.88 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $16.98 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $6.76 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $6.17 Typical High $6.17 | Professional | 55 · Aftercare only | $5.13 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $4.07 Typical High $4.07 | Professional | 56 · Pre-op care only | $3.39 | $4.07 | $4.07 |
Ambetter Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
BCBS Mississippi Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
BCBS Mississippi Setting Professional Modifier None Typical Low $29.51 Median $64.57 Typical High $64.57 | Professional | None | $29.51 | $64.57 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $43.65 | Facility | None | $26.30 | $26.30 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $181.97 | Professional | None | $33.88 | $33.88 | $181.97 |
Molina Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $28.18 | Professional | None | $25.70 | $25.70 | $28.18 |
United Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
United Setting Professional Modifier None Typical Low $27.54 Median $28.18 Typical High $36.31 | Professional | None | $27.54 | $28.18 | $36.31 |
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 $28.84 Median $28.84 Typical High $28.84 | Professional | JZ · No drug discarded | $28.84 | $28.84 | $28.84 |
Where Mississippi sits
The same service costs 5.4 times more in Wyoming than in Arizona. 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· 15th of 51
$33.88
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.