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 $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $645.65 Typical High $645.65 | Professional | None | $371.54 | $645.65 | $645.65 |
Ambetter Setting Professional Modifier None Typical Low $489.78 Median $524.81 Typical High $524.81 | Professional | None | $489.78 | $524.81 | $524.81 |
BCBS Mississippi Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
BCBS Mississippi Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $398.11 | Professional | None | $288.40 | $288.40 | $398.11 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $524.81 | Professional | None | $30.20 | $30.20 | $524.81 |
United Setting Facility Modifier None Typical Low $363.08 Median $851.14 Typical High $1,023.29 | Facility | None | $363.08 | $851.14 | $1,023.29 |
United Setting Professional Modifier None Typical Low $213.80 Median $302.00 Typical High $478.63 | Professional | None | $213.80 | $302.00 | $478.63 |
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 $190.55 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $190.55 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $128.82 Typical High $128.82 | Professional | 53 · Discontinued | $75.86 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $95.50 Typical High $95.50 | Professional | 55 · Aftercare only | $57.54 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $64.57 Typical High $64.57 | Professional | 56 · Pre-op care only | $38.02 | $64.57 | $64.57 |
Where Mississippi sits
The same service costs 2.8 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
$479
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.