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 $1.51 Median $1.78 Typical High $1.78 | Facility | None | $1.51 | $1.78 | $1.78 |
Aetna Setting Professional Modifier None Typical Low $1.51 Median $1.51 Typical High $1.78 | Professional | None | $1.51 | $1.51 | $1.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.76 Median $0.76 Typical High $0.89 | Professional | 52 · Reduced service | $0.76 | $0.76 | $0.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.30 Median $0.30 Typical High $0.36 | Professional | 53 · Discontinued | $0.30 | $0.30 | $0.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.23 Median $0.23 Typical High $0.27 | Professional | 55 · Aftercare only | $0.23 | $0.23 | $0.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.15 Median $0.15 Typical High $0.18 | Professional | 56 · Pre-op care only | $0.15 | $0.15 | $0.18 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1.45 Median $1.45 Typical High $1.58 | Facility | None | $1.45 | $1.45 | $1.58 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | None | $1.38 | $1.38 | $1.38 |
Cigna Setting Professional Modifier None Typical Low $0.89 Median $0.89 Typical High $0.89 | Professional | None | $0.89 | $0.89 | $0.89 |
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 $0.50 Median $0.83 Typical High $1.05 | Professional | None | $0.50 | $0.83 | $1.05 |
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 A1 · Dressing, 1 wound Typical Low $1.58 Median $1.58 Typical High $1.58 | Professional | A1 · Dressing, 1 wound | $1.58 | $1.58 | $1.58 |
Where Mississippi sits
The same service costs 2.5 times more in Idaho 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· 38th of 51
$0.89
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.