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 $4.07 Median $4.79 Typical High $4.79 | Facility | None | $4.07 | $4.79 | $4.79 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $4.07 Typical High $4.79 | Professional | None | $3.02 | $4.07 | $4.79 |
Ambetter Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.39 | Professional | None | $3.02 | $3.02 | $3.39 |
BCBS Mississippi Setting Facility Modifier None Typical Low $3.80 Median $3.80 Typical High $4.27 | Facility | None | $3.80 | $3.80 | $4.27 |
BCBS Mississippi Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | None | $3.72 | $3.72 | $3.72 |
Cigna Setting Facility Modifier None Typical Low $2.69 Median $2.82 Typical High $2.82 | Facility | None | $2.69 | $2.82 | $2.82 |
Cigna Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $2.82 | Professional | None | $2.40 | $2.40 | $2.82 |
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 $1.38 Median $2.19 Typical High $2.88 | Professional | None | $1.38 | $2.19 | $2.88 |
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 $2.04 Median $2.04 Typical High $2.40 | Professional | 52 · Reduced service | $2.04 | $2.04 | $2.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.81 Typical High $0.98 | Professional | 53 · Discontinued | $0.81 | $0.81 | $0.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.62 Median $0.62 Typical High $0.72 | Professional | 55 · Aftercare only | $0.62 | $0.62 | $0.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.41 Median $0.41 Typical High $0.48 | Professional | 56 · Pre-op care only | $0.41 | $0.41 | $0.48 |
Where Mississippi sits
The same service costs 2.2 times more in Kansas than in New Jersey. 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· 22nd of 51
$3.39
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.