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 $1.45 Median $1.70 Typical High $1.70 | Facility | None | $1.45 | $1.70 | $1.70 |
Aetna Setting Professional Modifier None Typical Low $1.45 Median $1.45 Typical High $1.70 | Professional | None | $1.45 | $1.45 | $1.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.22 Median $0.22 Typical High $0.25 | Professional | 55 · Aftercare only | $0.22 | $0.22 | $0.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.14 Median $0.14 Typical High $0.17 | Professional | 56 · Pre-op care only | $0.14 | $0.14 | $0.17 |
Ambetter Setting Professional Modifier None Typical Low $1.55 Median $1.55 Typical High $1.55 | Professional | None | $1.55 | $1.55 | $1.55 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1.86 Median $1.86 Typical High $2.04 | Facility | None | $1.86 | $1.86 | $2.04 |
BCBS Mississippi Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | None | $3.98 | $3.98 | $3.98 |
Molina Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $50.12 | Professional | None | $21.38 | $25.12 | $50.12 |
United Setting Professional Modifier None Typical Low $0.87 Median $1.12 Typical High $1.29 | Professional | None | $0.87 | $1.12 | $1.29 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier SC · Medically necessary Typical Low $1.58 Median $1.58 Typical High $1.58 | Professional | SC · Medically necessary | $1.58 | $1.58 | $1.58 |
Where Mississippi sits
The same service costs 6.0 times more in Minnesota than in Rhode Island. 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· 45th of 51
$1.45
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.