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 $7.59 Median $8.91 Typical High $8.91 | Facility | None | $7.59 | $8.91 | $8.91 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $8.91 | Professional | None | $7.59 | $7.59 | $8.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.12 Median $1.12 Typical High $1.35 | Professional | 55 · Aftercare only | $1.12 | $1.12 | $1.35 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.76 Median $0.76 Typical High $0.89 | Professional | 56 · Pre-op care only | $0.76 | $0.76 | $0.89 |
BCBS Mississippi Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $7.76 | Facility | None | $7.08 | $7.08 | $7.76 |
BCBS Mississippi Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
Cigna Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $6.61 | Facility | None | $6.17 | $6.17 | $6.61 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $6.61 | Professional | None | $5.25 | $5.25 | $6.61 |
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 $2.88 Median $4.07 Typical High $6.31 | Professional | None | $2.88 | $4.07 | $6.31 |
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 KX · Policy requirements met Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | KX · Policy requirements met | $6.31 | $6.31 | $6.31 |
Where Mississippi sits
The same service costs 2.1 times more in Hawaii 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· 24th of 51
$6.76
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.