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 $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $380.19 Typical High $380.19 | Professional | None | $208.93 | $380.19 | $380.19 |
Ambetter Setting Professional Modifier None Typical Low $295.12 Median $363.08 Typical High $363.08 | Professional | None | $295.12 | $363.08 | $363.08 |
BCBS Mississippi Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
BCBS Mississippi Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $245.47 | Professional | None | $181.97 | $181.97 | $245.47 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $309.03 | Professional | None | $30.20 | $30.20 | $309.03 |
United Setting Facility Modifier None Typical Low $190.55 Median $245.47 Typical High $616.60 | Facility | None | $190.55 | $245.47 | $616.60 |
United Setting Professional Modifier None Typical Low $125.89 Median $177.83 Typical High $288.40 | Professional | None | $125.89 | $177.83 | $288.40 |
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 $104.71 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $104.71 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $41.69 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $57.54 Typical High $57.54 | Professional | 55 · Aftercare only | $31.62 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $38.02 Typical High $38.02 | Professional | 56 · Pre-op care only | $20.89 | $38.02 | $38.02 |
Where Mississippi sits
The same service costs 2.5 times more in Kansas 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· 22nd of 51
$295
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.