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 $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $398.11 Typical High $398.11 | Professional | None | $190.55 | $398.11 | $398.11 |
BCBS Mississippi Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
BCBS Mississippi Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $245.47 | Professional | None | $177.83 | $177.83 | $245.47 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $323.59 | Professional | None | $30.20 | $30.20 | $323.59 |
United Setting Facility Modifier None Typical Low $169.82 Median $173.78 Typical High $549.54 | Facility | None | $169.82 | $173.78 | $549.54 |
United Setting Professional Modifier None Typical Low $131.83 Median $186.21 Typical High $257.04 | Professional | None | $131.83 | $186.21 | $257.04 |
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 $95.50 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $95.50 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $38.02 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $60.26 Typical High $60.26 | Professional | 55 · Aftercare only | $28.18 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $39.81 Typical High $39.81 | Professional | 56 · Pre-op care only | $19.05 | $39.81 | $39.81 |
Where Mississippi sits
The same service costs 2.3 times more in Wisconsin than in Colorado. 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· 18th of 51
$257
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.