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 $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $154.88 Typical High $154.88 | Professional | None | $85.11 | $154.88 | $154.88 |
Ambetter Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $302.00 | Professional | None | $154.88 | $154.88 | $302.00 |
BCBS Mississippi Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
BCBS Mississippi Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $100.00 | Professional | None | $72.44 | $72.44 | $100.00 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $125.89 | Professional | None | $30.20 | $30.20 | $125.89 |
United Setting Facility Modifier None Typical Low $60.26 Median $75.86 Typical High $251.19 | Facility | None | $60.26 | $75.86 | $251.19 |
United Setting Professional Modifier None Typical Low $51.29 Median $72.44 Typical High $114.82 | Professional | None | $51.29 | $72.44 | $114.82 |
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 $42.66 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $42.66 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $16.98 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $22.91 Typical High $22.91 | Professional | 55 · Aftercare only | $12.59 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $15.49 Typical High $15.49 | Professional | 56 · Pre-op care only | $8.51 | $15.49 | $15.49 |
Where Mississippi sits
The same service costs 2.9 times more in Montana 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· 23rd of 51
$115
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.