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 $50.12 Median $50.12 Typical High $77.62 | Facility | None | $50.12 | $50.12 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $67.61 Typical High $77.62 | Professional | None | $44.67 | $67.61 | $77.62 |
Ambetter Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
BCBS Mississippi Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
BCBS Mississippi Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $46.77 | Professional | None | $33.88 | $33.88 | $46.77 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $87.10 Typical High $87.10 | Professional | None | $30.20 | $87.10 | $87.10 |
United Setting Facility Modifier None Typical Low $19.05 Median $36.31 Typical High $117.49 | Facility | None | $19.05 | $36.31 | $117.49 |
United Setting Professional Modifier None Typical Low $27.54 Median $39.81 Typical High $51.29 | Professional | None | $27.54 | $39.81 | $51.29 |
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 $23.99 Median $33.88 Typical High $38.90 | Professional | 52 · Reduced service | $23.99 | $33.88 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $13.80 Typical High $15.49 | Professional | 53 · Discontinued | $9.55 | $13.80 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $10.23 Typical High $11.48 | Professional | 55 · Aftercare only | $7.24 | $10.23 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $6.76 Typical High $7.76 | Professional | 56 · Pre-op care only | $4.79 | $6.76 | $7.76 |
Where Mississippi sits
The same service costs 2.9 times more in Kansas than in Delaware. 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· 22nd of 51
$51.29
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.