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 $38.90 Median $38.90 Typical High $60.26 | Facility | None | $38.90 | $38.90 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $54.95 Typical High $60.26 | Professional | None | $38.02 | $54.95 | $60.26 |
Ambetter Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
BCBS Mississippi Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
BCBS Mississippi Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $69.18 | Facility | None | $46.77 | $46.77 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $51.29 | Professional | None | $33.88 | $33.88 | $51.29 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $53.70 | Professional | None | $30.20 | $30.20 | $53.70 |
United Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $107.15 | Facility | None | $43.65 | $43.65 | $107.15 |
United Setting Professional Modifier None Typical Low $21.88 Median $30.90 Typical High $43.65 | Professional | None | $21.88 | $30.90 | $43.65 |
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 $18.62 Median $27.54 Typical High $30.20 | Professional | 52 · Reduced service | $18.62 | $27.54 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $10.96 Typical High $12.02 | Professional | 53 · Discontinued | $7.59 | $10.96 | $12.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.62 Median $8.32 Typical High $8.91 | Professional | 55 · Aftercare only | $5.62 | $8.32 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.80 Median $5.50 Typical High $6.03 | Professional | 56 · Pre-op care only | $3.80 | $5.50 | $6.03 |
Where Mississippi sits
The same service costs 3.1 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· 24th of 51
$46.77
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.