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 $54.95 Median $54.95 Typical High $85.11 | Facility | None | $54.95 | $54.95 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $67.61 Typical High $85.11 | Professional | None | $42.66 | $67.61 | $85.11 |
Ambetter Setting Professional Modifier None Typical Low $60.26 Median $72.44 Typical High $89.13 | Professional | None | $60.26 | $72.44 | $89.13 |
BCBS Mississippi Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
BCBS Mississippi Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $57.54 | Professional | None | $42.66 | $42.66 | $57.54 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $93.33 Typical High $93.33 | Professional | None | $30.20 | $93.33 | $93.33 |
United Setting Facility Modifier None Typical Low $43.65 Median $51.29 Typical High $147.91 | Facility | None | $43.65 | $51.29 | $147.91 |
United Setting Professional Modifier None Typical Low $30.90 Median $43.65 Typical High $61.66 | Professional | None | $30.90 | $43.65 | $61.66 |
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 $26.30 Median $33.88 Typical High $41.69 | Professional | 52 · Reduced service | $26.30 | $33.88 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $13.49 Typical High $16.98 | Professional | 53 · Discontinued | $10.47 | $13.49 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $10.00 Typical High $12.59 | Professional | 55 · Aftercare only | $7.94 | $10.00 | $12.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $6.76 Typical High $8.51 | Professional | 56 · Pre-op care only | $5.25 | $6.76 | $8.51 |
Where Mississippi sits
The same service costs 2.6 times more in Hawaii 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· 20th of 51
$70.79
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.