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 $29.51 Median $43.65 Typical High $57.54 | Facility | None | $29.51 | $43.65 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $43.65 Typical High $66.07 | Professional | None | $33.11 | $43.65 | $66.07 |
Ambetter Setting Professional Modifier None Typical Low $46.77 Median $69.18 Typical High $95.50 | Professional | None | $46.77 | $69.18 | $95.50 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $58.88 Median $72.44 Typical High $89.13 | Professional | 25 · Same-day visit | $58.88 | $72.44 | $89.13 |
BCBS Mississippi Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $128.82 | Facility | None | $60.26 | $60.26 | $128.82 |
BCBS Mississippi Setting Professional Modifier None Typical Low $64.57 Median $72.44 Typical High $72.44 | Professional | None | $64.57 | $72.44 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $141.25 | Facility | None | $109.65 | $109.65 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $60.26 Typical High $77.62 | Professional | None | $44.67 | $60.26 | $77.62 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $35.48 | Professional | None | $33.11 | $33.11 | $35.48 |
United Setting Professional Modifier None Typical Low $43.65 Median $63.10 Typical High $79.43 | Professional | None | $43.65 | $63.10 | $79.43 |
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 $18.62 Median $25.70 Typical High $33.11 | Professional | 52 · Reduced service | $18.62 | $25.70 | $33.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.50 Median $7.76 Typical High $9.77 | Professional | 55 · Aftercare only | $5.50 | $7.76 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.72 Median $5.13 Typical High $6.61 | Professional | 56 · Pre-op care only | $3.72 | $5.13 | $6.61 |
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | SA · Nurse practitioner | $33.11 | $33.11 | $33.11 |
Where Mississippi sits
The same service costs 2.2 times more in Alaska 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· 43rd of 51
$56.23
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.