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 $134.90 | Facility | None | $87.10 | $87.10 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $128.82 Typical High $134.90 | Professional | None | $77.62 | $128.82 | $134.90 |
Ambetter Setting Professional Modifier None Typical Low $112.20 Median $120.23 Typical High $141.25 | Professional | None | $112.20 | $120.23 | $141.25 |
BCBS Mississippi Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $102.33 | Professional | None | $74.13 | $74.13 | $102.33 |
United Setting Facility Modifier None Typical Low $87.10 Median $190.55 Typical High $229.09 | Facility | None | $87.10 | $190.55 | $229.09 |
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 $63.10 Typical High $67.61 | Professional | 52 · Reduced service | $41.69 | $63.10 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $25.70 Typical High $26.92 | Professional | 53 · Discontinued | $16.60 | $25.70 | $26.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $19.05 Typical High $19.95 | Professional | 55 · Aftercare only | $12.59 | $19.05 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $12.88 Typical High $13.49 | Professional | 56 · Pre-op care only | $8.32 | $12.88 | $13.49 |
Where Mississippi sits
The same service costs 2.9 times more in Hawaii than in New Jersey. 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
$112
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.