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 $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $323.59 Typical High $323.59 | Professional | None | $177.83 | $323.59 | $323.59 |
Ambetter Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $630.96 | Professional | None | $331.13 | $331.13 | $630.96 |
BCBS Mississippi Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
BCBS Mississippi Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $204.17 | Professional | None | $147.91 | $147.91 | $204.17 |
United Setting Facility Modifier None Typical Low $181.97 Median $218.78 Typical High $537.03 | Facility | None | $181.97 | $218.78 | $537.03 |
United Setting Professional Modifier None Typical Low $107.15 Median $151.36 Typical High $245.47 | Professional | None | $107.15 | $151.36 | $245.47 |
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 $89.13 Median $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $89.13 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $35.48 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $48.98 Typical High $48.98 | Professional | 55 · Aftercare only | $26.92 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $32.36 Typical High $32.36 | Professional | 56 · Pre-op care only | $17.78 | $32.36 | $32.36 |
Where Mississippi sits
The same service costs 3.3 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
$245
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.