How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $6.17 Median $7.24 Typical High $7.24 | Facility | None | $6.17 | $7.24 | $7.24 |
Aetna Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $7.24 | Professional | None | $6.17 | $6.17 | $7.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.93 Median $0.93 Typical High $1.10 | Professional | 55 · Aftercare only | $0.93 | $0.93 | $1.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.62 Median $0.62 Typical High $0.72 | Professional | 56 · Pre-op care only | $0.62 | $0.62 | $0.72 |
BCBS Mississippi Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | None | $7.41 | $7.41 | $7.41 |
Molina Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $1,995.26 | Professional | None | $19.95 | $19.95 | $1,995.26 |
United Setting Professional Modifier None Typical Low $3.72 Median $4.79 Typical High $6.03 | Professional | None | $3.72 | $4.79 | $6.03 |
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 $5.62 Median $5.62 Typical High $5.62 | Professional | SC · Medically necessary | $5.62 | $5.62 | $5.62 |
Where Mississippi sits
The same service costs 3.2 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· 43rd of 51
$6.17
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.