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 $69.18 Median $69.18 Typical High $107.15 | Facility | None | $69.18 | $69.18 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $107.15 | Professional | None | $60.26 | $70.79 | $107.15 |
Ambetter Setting Professional Modifier None Typical Low $91.20 Median $95.50 Typical High $95.50 | Professional | None | $91.20 | $95.50 | $95.50 |
BCBS Mississippi Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
BCBS Mississippi Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $72.44 | Facility | None | $67.61 | $67.61 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $67.61 | Professional | None | $50.12 | $50.12 | $67.61 |
United Setting Facility Modifier None Typical Low $67.61 Median $77.62 Typical High $165.96 | Facility | None | $67.61 | $77.62 | $165.96 |
United Setting Professional Modifier None Typical Low $38.90 Median $56.23 Typical High $72.44 | Professional | None | $38.90 | $56.23 | $72.44 |
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 $33.88 Median $35.48 Typical High $53.70 | Professional | 52 · Reduced service | $33.88 | $35.48 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.45 Typical High $21.38 | Professional | 53 · Discontinued | $13.49 | $14.45 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $10.72 Typical High $16.22 | Professional | 55 · Aftercare only | $10.23 | $10.72 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $7.08 Typical High $10.72 | Professional | 56 · Pre-op care only | $6.76 | $7.08 | $10.72 |
Where Mississippi sits
The same service costs 4.1 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· 22nd of 51
$75.86
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.