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 $19.95 Median $19.95 Typical High $30.90 | Facility | None | $19.95 | $19.95 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $28.18 Typical High $30.90 | Professional | None | $15.49 | $28.18 | $30.90 |
Ambetter Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
BCBS Mississippi Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
BCBS Mississippi Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $31.62 | Facility | None | $22.39 | $22.39 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $22.39 | Professional | None | $16.22 | $16.22 | $22.39 |
United Setting Facility Modifier None Typical Low $19.95 Median $28.18 Typical High $48.98 | Facility | None | $19.95 | $28.18 | $48.98 |
United Setting Professional Modifier None Typical Low $11.22 Median $15.85 Typical High $21.38 | Professional | None | $11.22 | $15.85 | $21.38 |
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 $9.55 Median $14.13 Typical High $15.49 | Professional | 52 · Reduced service | $9.55 | $14.13 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $5.62 Typical High $6.17 | Professional | 53 · Discontinued | $3.89 | $5.62 | $6.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.88 Median $4.27 Typical High $4.68 | Professional | 55 · Aftercare only | $2.88 | $4.27 | $4.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.95 Median $2.82 Typical High $3.09 | Professional | 56 · Pre-op care only | $1.95 | $2.82 | $3.09 |
Where Mississippi sits
The same service costs 3.7 times more in Hawaii than in Florida. 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· 21st of 51
$22.91
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.