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 $87.10 Median $87.10 Typical High $131.83 | Facility | None | $87.10 | $87.10 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $107.15 Typical High $131.83 | Professional | None | $72.44 | $107.15 | $131.83 |
Ambetter Setting Professional Modifier None Typical Low $112.20 Median $114.82 Typical High $125.89 | Professional | None | $112.20 | $114.82 | $125.89 |
BCBS Mississippi Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
BCBS Mississippi Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $97.72 Typical High $97.72 | Facility | None | $95.50 | $97.72 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $97.72 | Professional | None | $70.79 | $70.79 | $97.72 |
United Setting Facility Modifier None Typical Low $79.43 Median $89.13 Typical High $239.88 | Facility | None | $79.43 | $89.13 | $239.88 |
United Setting Professional Modifier None Typical Low $48.98 Median $69.18 Typical High $97.72 | Professional | None | $48.98 | $69.18 | $97.72 |
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 $41.69 Median $53.70 Typical High $66.07 | Professional | 52 · Reduced service | $41.69 | $53.70 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $21.38 Typical High $26.30 | Professional | 53 · Discontinued | $16.60 | $21.38 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $15.85 Typical High $19.95 | Professional | 55 · Aftercare only | $12.59 | $15.85 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $10.72 Typical High $13.18 | Professional | 56 · Pre-op care only | $8.32 | $10.72 | $13.18 |
Where Mississippi sits
The same service costs 2.8 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· 22nd of 51
$107
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.