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 $4.37 Median $5.13 Typical High $5.13 | Facility | None | $4.37 | $5.13 | $5.13 |
Aetna Setting Professional Modifier None Typical Low $3.98 Median $4.37 Typical High $5.13 | Professional | None | $3.98 | $4.37 | $5.13 |
Ambetter Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | None | $3.55 | $3.55 | $3.55 |
BCBS Mississippi Setting Facility Modifier None Typical Low $4.07 Median $4.07 Typical High $4.47 | Facility | None | $4.07 | $4.07 | $4.47 |
BCBS Mississippi Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | None | $3.89 | $3.89 | $3.89 |
Cigna Setting Facility Modifier None Typical Low $3.02 Median $3.02 Typical High $3.16 | Facility | None | $3.02 | $3.02 | $3.16 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $3.02 | Professional | None | $2.57 | $2.57 | $3.02 |
Molina Setting Professional Modifier None Typical Low $3.98 Median $30.20 Typical High $1,995.26 | Professional | None | $3.98 | $30.20 | $1,995.26 |
United Setting Professional Modifier None Typical Low $1.62 Median $2.34 Typical High $3.09 | Professional | None | $1.62 | $2.34 | $3.09 |
4 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.19 Median $2.19 Typical High $2.57 | Professional | 52 · Reduced service | $2.19 | $2.19 | $2.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.87 Median $0.87 Typical High $1.02 | Professional | 53 · Discontinued | $0.87 | $0.87 | $1.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.65 Median $0.65 Typical High $0.78 | Professional | 55 · Aftercare only | $0.65 | $0.65 | $0.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.44 Median $0.44 Typical High $0.51 | Professional | 56 · Pre-op care only | $0.44 | $0.44 | $0.51 |
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· 18th of 51
$3.89
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.