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 $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $33.11 Typical High $33.11 | Professional | None | $15.85 | $33.11 | $33.11 |
Ambetter Setting Professional Modifier None Typical Low $20.89 Median $26.92 Typical High $64.57 | Professional | None | $20.89 | $26.92 | $64.57 |
BCBS Mississippi Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
BCBS Mississippi Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $18.62 | Professional | None | $13.49 | $13.49 | $18.62 |
United Setting Facility Modifier None Typical Low $14.45 Median $16.60 Typical High $43.65 | Facility | None | $14.45 | $16.60 | $43.65 |
United Setting Professional Modifier None Typical Low $10.96 Median $15.49 Typical High $20.42 | Professional | None | $10.96 | $15.49 | $20.42 |
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 $8.13 Median $16.60 Typical High $16.60 | Professional | 52 · Reduced service | $8.13 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $3.24 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.40 Median $5.01 Typical High $5.01 | Professional | 55 · Aftercare only | $2.40 | $5.01 | $5.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.62 Median $3.31 Typical High $3.31 | Professional | 56 · Pre-op care only | $1.62 | $3.31 | $3.31 |
Where Mississippi sits
The same service costs 2.8 times more in Hawaii than in Pennsylvania. 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· 21st of 51
$20.42
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.