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 $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $758.58 Typical High $758.58 | Professional | None | $426.58 | $758.58 | $758.58 |
Ambetter Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
BCBS Mississippi Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
BCBS Mississippi Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $446.68 | Professional | None | $331.13 | $331.13 | $446.68 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $776.25 Typical High $776.25 | Professional | None | $30.20 | $776.25 | $776.25 |
United Setting Facility Modifier None Typical Low $467.74 Median $954.99 Typical High $1,148.15 | Facility | None | $467.74 | $954.99 | $1,148.15 |
United Setting Professional Modifier None Typical Low $251.19 Median $354.81 Typical High $524.81 | Professional | None | $251.19 | $354.81 | $524.81 |
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 $213.80 Median $380.19 Typical High $380.19 | Professional | 52 · Reduced service | $213.80 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $151.36 Typical High $151.36 | Professional | 53 · Discontinued | $85.11 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $63.10 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $75.86 Typical High $75.86 | Professional | 56 · Pre-op care only | $42.66 | $75.86 | $75.86 |
Where Mississippi sits
The same service costs 2.8 times more in Iowa 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· 19th of 51
$537
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.