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 $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $257.04 Typical High $257.04 | Professional | None | $141.25 | $257.04 | $257.04 |
BCBS Mississippi Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
BCBS Mississippi Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $162.18 | Professional | None | $117.49 | $117.49 | $162.18 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $208.93 | Professional | None | $30.20 | $30.20 | $208.93 |
United Setting Facility Modifier None Typical Low $104.71 Median $128.82 Typical High $426.58 | Facility | None | $104.71 | $128.82 | $426.58 |
United Setting Professional Modifier None Typical Low $85.11 Median $120.23 Typical High $194.98 | Professional | None | $85.11 | $120.23 | $194.98 |
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 $70.79 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $70.79 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $28.18 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $38.90 Typical High $38.90 | Professional | 55 · Aftercare only | $21.38 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $25.70 Typical High $25.70 | Professional | 56 · Pre-op care only | $14.13 | $25.70 | $25.70 |
Where Mississippi sits
The same service costs 2.8 times more in Minnesota 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
$195
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.