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 $1.15 Median $1.15 Typical High $1.32 | Facility | None | $1.15 | $1.15 | $1.32 |
Aetna Setting Professional Modifier None Typical Low $1.10 Median $1.32 Typical High $1.32 | Professional | None | $1.10 | $1.32 | $1.32 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.55 Median $0.66 Typical High $0.66 | Professional | 52 · Reduced service | $0.55 | $0.66 | $0.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.22 Median $0.26 Typical High $0.26 | Professional | 53 · Discontinued | $0.22 | $0.26 | $0.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.17 Median $0.20 Typical High $0.20 | Professional | 55 · Aftercare only | $0.17 | $0.20 | $0.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.11 Median $0.13 Typical High $0.13 | Professional | 56 · Pre-op care only | $0.11 | $0.13 | $0.13 |
BCBS Mississippi Setting Facility Modifier None Typical Low $3.55 Median $3.55 Typical High $3.89 | Facility | None | $3.55 | $3.55 | $3.89 |
Cigna Setting Facility Modifier None Typical Low $1.10 Median $1.23 Typical High $2.09 | Facility | None | $1.10 | $1.23 | $2.09 |
Cigna Setting Professional Modifier None Typical Low $1.10 Median $1.10 Typical High $1.10 | Professional | None | $1.10 | $1.10 | $1.10 |
United Setting Professional Modifier None Typical Low $1.12 Median $1.17 Typical High $2.14 | Professional | None | $1.12 | $1.17 | $2.14 |
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 JW · Drug discarded Typical Low $1.17 Median $1.17 Typical High $1.17 | Professional | JW · Drug discarded | $1.17 | $1.17 | $1.17 |
Where Mississippi sits
The same service costs 3.0 times more in Oklahoma than in Delaware. 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· 25th of 51
$1.23
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.