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 $6.17 Median $7.24 Typical High $7.24 | Facility | None | $6.17 | $7.24 | $7.24 |
Aetna Setting Professional Modifier None Typical Low $1.95 Median $6.17 Typical High $7.24 | Professional | None | $1.95 | $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 Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $6.31 | Facility | None | $5.75 | $5.75 | $6.31 |
BCBS Mississippi Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | None | $5.62 | $5.62 | $5.62 |
Cigna Setting Facility Modifier None Typical Low $4.27 Median $4.27 Typical High $4.57 | Facility | None | $4.27 | $4.27 | $4.57 |
Cigna Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $4.37 | Professional | None | $3.63 | $3.63 | $4.37 |
Molina Setting Professional Modifier None Typical Low $5.75 Median $30.20 Typical High $1,995.26 | Professional | None | $5.75 | $30.20 | $1,995.26 |
United Setting Professional Modifier None Typical Low $2.34 Median $3.39 Typical High $4.37 | Professional | None | $2.34 | $3.39 | $4.37 |
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 $5.13 Median $5.13 Typical High $5.13 | Professional | KX · Policy requirements met | $5.13 | $5.13 | $5.13 |
Where Mississippi sits
The same service costs 2.1 times more in Hawaii 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· 17th of 51
$5.62
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.