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 $2.51 Median $2.95 Typical High $2.95 | Facility | None | $2.51 | $2.95 | $2.95 |
Aetna Setting Professional Modifier None Typical Low $1.86 Median $2.51 Typical High $2.95 | Professional | None | $1.86 | $2.51 | $2.95 |
Ambetter Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | None | $2.04 | $2.04 | $2.04 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2.34 Median $2.34 Typical High $2.57 | Facility | None | $2.34 | $2.34 | $2.57 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | None | $2.24 | $2.24 | $2.24 |
Cigna Setting Facility Modifier None Typical Low $1.74 Median $1.74 Typical High $2.14 | Facility | None | $1.74 | $1.74 | $2.14 |
Cigna Setting Professional Modifier None Typical Low $1.48 Median $1.48 Typical High $1.74 | Professional | None | $1.48 | $1.48 | $1.74 |
Molina Setting Professional Modifier None Typical Low $2.29 Median $30.20 Typical High $1,995.26 | Professional | None | $2.29 | $30.20 | $1,995.26 |
United Setting Professional Modifier None Typical Low $0.85 Median $1.35 Typical High $1.78 | Professional | None | $0.85 | $1.35 | $1.78 |
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 $1.26 Median $1.26 Typical High $1.48 | Professional | 52 · Reduced service | $1.26 | $1.26 | $1.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.50 Median $0.50 Typical High $0.59 | Professional | 53 · Discontinued | $0.50 | $0.50 | $0.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.38 Median $0.38 Typical High $0.44 | Professional | 55 · Aftercare only | $0.38 | $0.38 | $0.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.25 Median $0.25 Typical High $0.28 | Professional | 56 · Pre-op care only | $0.25 | $0.25 | $0.28 |
Where Mississippi sits
The same service costs 2.2 times more in Kansas 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· 18th of 51
$2.24
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.