How much rates vary
Facilitymedian $6 · 10th to 90th $5 to $6Professionalmedian $2 · 10th to 90th $2 to $4
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 $3.72 Median $4.27 Typical High $4.27 | Facility | None | $3.72 | $4.27 | $4.27 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $4.27 | Professional | None | $3.72 | $3.72 | $4.27 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.82 Median $1.82 Typical High $2.14 | Professional | 52 · Reduced service | $1.82 | $1.82 | $2.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.74 Median $0.74 Typical High $0.85 | Professional | 53 · Discontinued | $0.74 | $0.74 | $0.85 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2.75 Median $2.75 Typical High $3.24 | Professional | 54 · Surgery only | $2.75 | $2.75 | $3.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.55 Median $0.55 Typical High $0.65 | Professional | 55 · Aftercare only | $0.55 | $0.55 | $0.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.37 Median $0.37 Typical High $0.43 | Professional | 56 · Pre-op care only | $0.37 | $0.37 | $0.43 |
Ambetter Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | None | $2.95 | $2.95 | $2.95 |
BCBS Mississippi Setting Facility Modifier None Typical Low $5.50 Median $5.75 Typical High $5.75 | Facility | None | $5.50 | $5.75 | $5.75 |
BCBS Mississippi Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
Cigna Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | None | $1.78 | $1.78 | $1.78 |
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 $1.20 Median $2.00 Typical High $2.34 | Professional | None | $1.20 | $2.00 | $2.34 |
Where Mississippi sits
The same service costs 4.0 times more in Rhode Island than in New York. 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· 33rd of 51
$2.57
RI $6.76NY $1.70
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.