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 $169.82 Median $398.11 Typical High $398.11 | Professional | None | $169.82 | $398.11 | $398.11 |
Ambetter Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
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 $295.12 Median $295.12 Typical High $302.00 | Facility | None | $295.12 | $295.12 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $302.00 | Professional | None | $213.80 | $213.80 | $302.00 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $407.38 Typical High $407.38 | Professional | None | $30.20 | $407.38 | $407.38 |
United Setting Facility Modifier None Typical Low $186.21 Median $251.19 Typical High $616.60 | Facility | None | $186.21 | $251.19 | $616.60 |
United Setting Professional Modifier None Typical Low $134.90 Median $186.21 Typical High $281.84 | Professional | None | $134.90 | $186.21 | $281.84 |
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 $114.82 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $114.82 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $45.71 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $58.88 Typical High $58.88 | Professional | 55 · Aftercare only | $33.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $39.81 Typical High $39.81 | Professional | 56 · Pre-op care only | $22.91 | $39.81 | $39.81 |
Where Mississippi sits
The same service costs 2.5 times more in Hawaii than in Washington, DC. 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
$302
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.