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 $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $363.08 Typical High $363.08 | Professional | None | $194.98 | $363.08 | $363.08 |
Ambetter Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
BCBS Mississippi Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
BCBS Mississippi Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $269.15 | Professional | None | $199.53 | $199.53 | $269.15 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $295.12 | Professional | None | $30.20 | $30.20 | $295.12 |
United Setting Facility Modifier None Typical Low $158.49 Median $173.78 Typical High $549.54 | Facility | None | $158.49 | $173.78 | $549.54 |
United Setting Professional Modifier None Typical Low $120.23 Median $169.82 Typical High $251.19 | Professional | None | $120.23 | $169.82 | $251.19 |
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 $97.72 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $97.72 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $38.90 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $53.70 Typical High $53.70 | Professional | 55 · Aftercare only | $29.51 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $36.31 Typical High $36.31 | Professional | 56 · Pre-op care only | $19.50 | $36.31 | $36.31 |
Where Mississippi sits
The same service costs 2.0 times more in Wisconsin than in Colorado. 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
$269
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.