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 $27.54 Median $27.54 Typical High $41.69 | Facility | None | $27.54 | $27.54 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $32.36 Typical High $41.69 | Professional | None | $25.70 | $32.36 | $41.69 |
Ambetter Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $44.67 | Professional | None | $42.66 | $42.66 | $44.67 |
BCBS Mississippi Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
BCBS Mississippi Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $26.92 | Professional | None | $19.95 | $19.95 | $26.92 |
United Setting Facility Modifier None Typical Low $47.86 Median $56.23 Typical High $67.61 | Facility | None | $47.86 | $56.23 | $67.61 |
United Setting Professional Modifier None Typical Low $15.49 Median $21.88 Typical High $29.51 | Professional | None | $15.49 | $21.88 | $29.51 |
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 $13.18 Median $16.22 Typical High $20.89 | Professional | 52 · Reduced service | $13.18 | $16.22 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $6.46 Typical High $8.32 | Professional | 53 · Discontinued | $5.25 | $6.46 | $8.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.98 Median $4.90 Typical High $6.31 | Professional | 55 · Aftercare only | $3.98 | $4.90 | $6.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.63 Median $3.24 Typical High $4.17 | Professional | 56 · Pre-op care only | $2.63 | $3.24 | $4.17 |
Where Mississippi sits
The same service costs 2.5 times more in Montana 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· 19th of 51
$32.36
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.