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 $1.23 Median $1.45 Typical High $1.45 | Facility | None | $1.23 | $1.45 | $1.45 |
Aetna Setting Professional Modifier None Typical Low $1.23 Median $1.23 Typical High $1.45 | Professional | None | $1.23 | $1.23 | $1.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.19 Median $0.19 Typical High $0.22 | Professional | 55 · Aftercare only | $0.19 | $0.19 | $0.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.12 Median $0.12 Typical High $0.15 | Professional | 56 · Pre-op care only | $0.12 | $0.12 | $0.15 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1.74 Median $1.74 Typical High $1.91 | Facility | None | $1.74 | $1.74 | $1.91 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1.20 Median $1.20 Typical High $1.20 | Professional | None | $1.20 | $1.20 | $1.20 |
Cigna Setting Professional Modifier None Typical Low $1.02 Median $1.02 Typical High $1.02 | Professional | None | $1.02 | $1.02 | $1.02 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $1,995.26 Typical High $1,995.26 | Professional | None | $30.20 | $1,995.26 | $1,995.26 |
United Setting Professional Modifier None Typical Low $0.56 Median $6.17 Typical High $7.41 | Professional | None | $0.56 | $6.17 | $7.41 |
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 KS · Glucose supply, no insulin + SC · Medically necessary Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | KS · Glucose supply, no insulin + SC · Medically necessary | $100.00 | $100.00 | $100.00 |
Where Mississippi sits
The same service costs 7.4 times more in Kentucky 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· 32nd of 51
$1.23
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.