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 $6.03 Median $7.08 Typical High $7.08 | Facility | None | $6.03 | $7.08 | $7.08 |
Aetna Setting Professional Modifier None Typical Low $5.50 Median $6.03 Typical High $7.08 | Professional | None | $5.50 | $6.03 | $7.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.89 Median $0.89 Typical High $1.05 | Professional | 55 · Aftercare only | $0.89 | $0.89 | $1.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.60 Median $0.60 Typical High $0.71 | Professional | 56 · Pre-op care only | $0.60 | $0.60 | $0.71 |
BCBS Mississippi Setting Facility Modifier None Typical Low $5.62 Median $5.62 Typical High $6.17 | Facility | None | $5.62 | $5.62 | $6.17 |
BCBS Mississippi Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | None | $5.37 | $5.37 | $5.37 |
Cigna Setting Facility Modifier None Typical Low $4.17 Median $4.17 Typical High $4.47 | Facility | None | $4.17 | $4.17 | $4.47 |
Cigna Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $4.47 | Professional | None | $3.55 | $3.55 | $4.47 |
Molina Setting Professional Modifier None Typical Low $5.50 Median $30.20 Typical High $1,995.26 | Professional | None | $5.50 | $30.20 | $1,995.26 |
United Setting Professional Modifier None Typical Low $2.24 Median $3.24 Typical High $4.17 | Professional | None | $2.24 | $3.24 | $4.17 |
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 $4.90 Median $4.90 Typical High $4.90 | Professional | SC · Medically necessary | $4.90 | $4.90 | $4.90 |
Where Mississippi sits
The same service costs 2.1 times more in Kansas than in Colorado. 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
$5.37
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.