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 $91.20 Median $91.20 Typical High $141.25 | Facility | None | $91.20 | $91.20 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $141.25 | Professional | None | $81.28 | $95.50 | $141.25 |
Ambetter Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $147.91 | Professional | None | $117.49 | $117.49 | $147.91 |
BCBS Mississippi Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
BCBS Mississippi Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $87.10 Typical High $87.10 | Facility | None | $81.28 | $87.10 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $87.10 | Professional | None | $63.10 | $63.10 | $87.10 |
United Setting Facility Modifier None Typical Low $91.20 Median $120.23 Typical High $218.78 | Facility | None | $91.20 | $120.23 | $218.78 |
United Setting Professional Modifier None Typical Low $51.29 Median $72.44 Typical High $97.72 | Professional | None | $51.29 | $72.44 | $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 $43.65 Median $47.86 Typical High $70.79 | Professional | 52 · Reduced service | $43.65 | $47.86 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $19.05 Typical High $28.18 | Professional | 53 · Discontinued | $17.78 | $19.05 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $14.45 Typical High $20.89 | Professional | 55 · Aftercare only | $13.18 | $14.45 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $9.55 Typical High $14.13 | Professional | 56 · Pre-op care only | $8.91 | $9.55 | $14.13 |
Where Mississippi sits
The same service costs 5.0 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
$102
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.