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 $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $25.70 Typical High $25.70 | Professional | None | $14.13 | $25.70 | $25.70 |
Ambetter Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $50.12 | Professional | None | $20.89 | $20.89 | $50.12 |
BCBS Mississippi Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
BCBS Mississippi Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $16.60 | Professional | None | $12.02 | $12.02 | $16.60 |
Molina Setting Professional Modifier None Typical Low $20.89 Median $26.30 Typical High $30.20 | Professional | None | $20.89 | $26.30 | $30.20 |
United Setting Facility Modifier None Typical Low $12.88 Median $16.22 Typical High $40.74 | Facility | None | $12.88 | $16.22 | $40.74 |
United Setting Professional Modifier None Typical Low $8.71 Median $12.02 Typical High $18.62 | Professional | None | $8.71 | $12.02 | $18.62 |
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 $7.08 Median $12.88 Typical High $12.88 | Professional | 52 · Reduced service | $7.08 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $5.13 Typical High $5.13 | Professional | 53 · Discontinued | $2.82 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.09 Median $3.89 Typical High $3.89 | Professional | 55 · Aftercare only | $2.09 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.41 Median $2.57 Typical High $2.57 | Professional | 56 · Pre-op care only | $1.41 | $2.57 | $2.57 |
Where Mississippi sits
The same service costs 3.0 times more in Hawaii 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
$19.05
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.