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 $38.02 Median $44.67 Typical High $44.67 | Facility | None | $38.02 | $44.67 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $44.67 | Professional | None | $38.02 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $18.62 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $7.59 | $9.12 | $9.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $6.76 Typical High $6.76 | Professional | 55 · Aftercare only | $5.62 | $6.76 | $6.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $4.47 Typical High $4.47 | Professional | 56 · Pre-op care only | $3.80 | $4.47 | $4.47 |
BCBS Mississippi Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $29.51 | Facility | None | $26.92 | $26.92 | $29.51 |
BCBS Mississippi Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $44.67 | Facility | None | $37.15 | $37.15 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Molina Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $37.15 | Professional | None | $35.48 | $35.48 | $37.15 |
United Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
United Setting Professional Modifier None Typical Low $35.48 Median $37.15 Typical High $46.77 | Professional | None | $35.48 | $37.15 | $46.77 |
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 $38.02 Median $38.02 Typical High $38.02 | Professional | JZ · No drug discarded | $38.02 | $38.02 | $38.02 |
Where Mississippi sits
Rates are fairly even across states for this service. 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· 36th of 51
$38.02
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.