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 $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $776.25 Typical High $776.25 | Professional | None | $346.74 | $776.25 | $776.25 |
Ambetter Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
BCBS Mississippi Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
BCBS Mississippi Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $389.05 | Professional | None | $281.84 | $281.84 | $389.05 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $794.33 Typical High $794.33 | Professional | None | $30.20 | $794.33 | $794.33 |
United Setting Facility Modifier None Typical Low $281.84 Median $331.13 Typical High $1,023.29 | Facility | None | $281.84 | $331.13 | $1,023.29 |
United Setting Professional Modifier None Typical Low $257.04 Median $363.08 Typical High $478.63 | Professional | None | $257.04 | $363.08 | $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 $169.82 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $169.82 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $69.18 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $51.29 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $34.67 | $77.62 | $77.62 |
Where Mississippi sits
The same service costs 2.6 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· 21st 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.