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 $295.12 Median $380.19 Typical High $954.99 | Facility | None | $295.12 | $380.19 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $588.84 Typical High $954.99 | Professional | None | $316.23 | $588.84 | $954.99 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $371.54 Typical High $478.63 | Professional | 52 · Reduced service | $147.91 | $371.54 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $112.20 Typical High $144.54 | Professional | 55 · Aftercare only | $44.67 | $112.20 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $74.13 Typical High $95.50 | Professional | 56 · Pre-op care only | $29.51 | $74.13 | $95.50 |
Ambetter Setting Professional Modifier None Typical Low $169.82 Median $501.19 Typical High $645.65 | Professional | None | $169.82 | $501.19 | $645.65 |
BCBS Mississippi Setting Facility Modifier None Typical Low $524.81 Median $549.54 Typical High $549.54 | Facility | None | $524.81 | $549.54 | $549.54 |
BCBS Mississippi Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,047.13 Typical High $2,630.27 | Facility | None | $676.08 | $1,047.13 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $549.54 Typical High $776.25 | Professional | None | $407.38 | $549.54 | $776.25 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $323.59 Median $676.08 Typical High $3,090.30 | Facility | None | $323.59 | $676.08 | $3,090.30 |
United Setting Professional Modifier None Typical Low $331.13 Median $426.58 Typical High $851.14 | Professional | None | $331.13 | $426.58 | $851.14 |
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 TH · Pregnancy care Typical Low $141.25 Median $199.53 Typical High $251.19 | Professional | TH · Pregnancy care | $141.25 | $199.53 | $251.19 |
Where Mississippi sits
The same service costs 3.1 times more in Alaska than in Indiana. 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· 26th of 51
$550
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.