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 $6.92 Median $8.13 Typical High $8.13 | Facility | None | $6.92 | $8.13 | $8.13 |
Aetna Setting Professional Modifier None Typical Low $3.63 Median $6.92 Typical High $8.13 | Professional | None | $3.63 | $6.92 | $8.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.05 Median $1.05 Typical High $1.23 | Professional | 55 · Aftercare only | $1.05 | $1.05 | $1.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.71 Median $0.71 Typical High $0.81 | Professional | 56 · Pre-op care only | $0.71 | $0.71 | $0.81 |
BCBS Mississippi Setting Facility Modifier None Typical Low $6.46 Median $6.46 Typical High $7.24 | Facility | None | $6.46 | $6.46 | $7.24 |
BCBS Mississippi Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | None | $6.31 | $6.31 | $6.31 |
Cigna Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $5.13 | Facility | None | $4.79 | $4.79 | $5.13 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $4.79 | Professional | None | $4.07 | $4.07 | $4.79 |
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 $2.63 Median $3.80 Typical High $4.90 | Professional | None | $2.63 | $3.80 | $4.90 |
2 more rates 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 $5.75 Median $5.75 Typical High $5.75 | Professional | KX · Policy requirements met | $5.75 | $5.75 | $5.75 |
Ambetter Setting Professional Modifier SC · Medically necessary Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | SC · Medically necessary | $5.75 | $5.75 | $5.75 |
Where Mississippi sits
The same service costs 2.3 times more in Kansas than in Utah. 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
$6.31
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.