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 $2.95 Median $3.47 Typical High $3.47 | Facility | None | $2.95 | $3.47 | $3.47 |
Aetna Setting Professional Modifier None Typical Low $2.51 Median $2.95 Typical High $3.47 | Professional | None | $2.51 | $2.95 | $3.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.38 Median $0.44 Typical High $0.52 | Professional | 55 · Aftercare only | $0.38 | $0.44 | $0.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.25 Median $0.30 Typical High $0.35 | Professional | 56 · Pre-op care only | $0.25 | $0.30 | $0.35 |
Ambetter Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | None | $2.40 | $2.40 | $2.40 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2.75 Median $2.75 Typical High $3.02 | Facility | None | $2.75 | $2.75 | $3.02 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | None | $2.63 | $2.63 | $2.63 |
Cigna Setting Facility Modifier None Typical Low $1.82 Median $2.04 Typical High $2.04 | Facility | None | $1.82 | $2.04 | $2.04 |
Cigna Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $2.04 | Professional | None | $1.74 | $1.74 | $2.04 |
Molina Setting Professional Modifier None Typical Low $2.69 Median $2.69 Typical High $1,995.26 | Professional | None | $2.69 | $2.69 | $1,995.26 |
United Setting Professional Modifier None Typical Low $1.12 Median $1.58 Typical High $2.09 | Professional | None | $1.12 | $1.58 | $2.09 |
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 $2.40 Median $2.40 Typical High $2.40 | Professional | SC · Medically necessary | $2.40 | $2.40 | $2.40 |
Where Mississippi sits
The same service costs 3.8 times more in Kansas than in Alabama. 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· 16th of 51
$2.51
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.