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 $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $524.81 Typical High $524.81 | Professional | None | $275.42 | $524.81 | $524.81 |
Ambetter Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
BCBS Mississippi Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
BCBS Mississippi Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $338.84 | Professional | None | $245.47 | $245.47 | $338.84 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $426.58 | Professional | None | $30.20 | $30.20 | $426.58 |
United Setting Facility Modifier None Typical Low $263.03 Median $363.08 Typical High $851.14 | Facility | None | $263.03 | $363.08 | $851.14 |
United Setting Professional Modifier None Typical Low $173.78 Median $245.47 Typical High $389.05 | Professional | None | $173.78 | $245.47 | $389.05 |
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 $144.54 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $144.54 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $104.71 Typical High $104.71 | Professional | 53 · Discontinued | $57.54 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $77.62 Typical High $77.62 | Professional | 55 · Aftercare only | $43.65 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $52.48 Typical High $52.48 | Professional | 56 · Pre-op care only | $28.84 | $52.48 | $52.48 |
Where Mississippi sits
The same service costs 2.8 times more in Wyoming 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· 17th of 51
$398
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.