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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $87.10 Typical High $87.10 | Professional | None | $43.65 | $87.10 | $87.10 |
Ambetter Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $169.82 | Professional | None | $70.79 | $70.79 | $169.82 |
BCBS Mississippi Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
BCBS Mississippi Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $51.29 | Professional | None | $38.02 | $38.02 | $51.29 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $70.79 | Professional | None | $30.20 | $30.20 | $70.79 |
United Setting Facility Modifier None Typical Low $53.70 Median $64.57 Typical High $131.83 | Facility | None | $53.70 | $64.57 | $131.83 |
United Setting Professional Modifier None Typical Low $28.84 Median $40.74 Typical High $60.26 | Professional | None | $28.84 | $40.74 | $60.26 |
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 $21.88 Median $43.65 Typical High $43.65 | Professional | 52 · Reduced service | $21.88 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $17.38 Typical High $17.38 | Professional | 53 · Discontinued | $8.71 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $13.18 Typical High $13.18 | Professional | 55 · Aftercare only | $6.61 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $8.71 Typical High $8.71 | Professional | 56 · Pre-op care only | $4.37 | $8.71 | $8.71 |
Where Mississippi sits
The same service costs 4.9 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· 18th of 51
$61.66
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.