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 $162.18 Median $162.18 Typical High $251.19 | Facility | None | $162.18 | $162.18 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $194.98 Typical High $251.19 | Professional | None | $158.49 | $194.98 | $251.19 |
Ambetter Setting Professional Modifier None Typical Low $151.36 Median $208.93 Typical High $263.03 | Professional | None | $151.36 | $208.93 | $263.03 |
BCBS Mississippi Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
BCBS Mississippi Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $144.54 | Facility | None | $141.25 | $141.25 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $141.25 | Professional | None | $104.71 | $104.71 | $141.25 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $223.87 | Professional | None | $30.20 | $30.20 | $223.87 |
United Setting Facility Modifier None Typical Low $281.84 Median $331.13 Typical High $398.11 | Facility | None | $281.84 | $331.13 | $398.11 |
United Setting Professional Modifier None Typical Low $91.20 Median $131.83 Typical High $190.55 | Professional | None | $91.20 | $131.83 | $190.55 |
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 $79.43 Median $97.72 Typical High $125.89 | Professional | 52 · Reduced service | $79.43 | $97.72 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $38.90 Typical High $50.12 | Professional | 53 · Discontinued | $31.62 | $38.90 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $28.84 Typical High $38.02 | Professional | 55 · Aftercare only | $23.44 | $28.84 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $19.50 Typical High $25.12 | Professional | 56 · Pre-op care only | $15.85 | $19.50 | $25.12 |
Where Mississippi sits
The same service costs 2.2 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· 19th of 51
$209
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.