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 $8.51 Median $10.00 Typical High $10.00 | Facility | None | $8.51 | $10.00 | $10.00 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $8.51 Typical High $10.00 | Professional | None | $7.94 | $8.51 | $10.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.29 Median $1.29 Typical High $1.51 | Professional | 55 · Aftercare only | $1.29 | $1.29 | $1.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.85 Median $0.85 Typical High $1.00 | Professional | 56 · Pre-op care only | $0.85 | $0.85 | $1.00 |
BCBS Mississippi Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $8.71 | Facility | None | $7.94 | $7.94 | $8.71 |
BCBS Mississippi Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | None | $7.59 | $7.59 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Facility | None | $5.89 | $5.89 | $5.89 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $5.89 | Professional | None | $5.01 | $5.01 | $5.89 |
Molina Setting Professional Modifier None Typical Low $7.76 Median $30.20 Typical High $1,995.26 | Professional | None | $7.76 | $30.20 | $1,995.26 |
United Setting Professional Modifier None Typical Low $2.88 Median $4.57 Typical High $6.03 | Professional | None | $2.88 | $4.57 | $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 $6.92 Median $6.92 Typical High $6.92 | Professional | SC · Medically necessary | $6.92 | $6.92 | $6.92 |
Where Mississippi sits
The same service costs 2.4 times more in Kansas than in Connecticut. 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· 17th of 51
$7.59
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.