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 $45.71 Median $66.07 Typical High $87.10 | Facility | None | $45.71 | $66.07 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $77.62 Typical High $102.33 | Professional | None | $57.54 | $77.62 | $102.33 |
Ambetter Setting Professional Modifier None Typical Low $85.11 Median $114.82 Typical High $151.36 | Professional | None | $85.11 | $114.82 | $151.36 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $81.28 Median $114.82 Typical High $141.25 | Professional | 25 · Same-day visit | $81.28 | $114.82 | $141.25 |
BCBS Mississippi Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $128.82 | Facility | None | $91.20 | $91.20 | $128.82 |
BCBS Mississippi Setting Professional Modifier None Typical Low $100.00 Median $112.20 Typical High $112.20 | Professional | None | $100.00 | $112.20 | $112.20 |
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 $72.44 Median $89.13 Typical High $123.03 | Professional | None | $72.44 | $89.13 | $123.03 |
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 Professional Modifier None Typical Low $66.07 Median $91.20 Typical High $114.82 | Professional | None | $66.07 | $91.20 | $114.82 |
8 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 $30.90 Median $40.74 Typical High $51.29 | Professional | 52 · Reduced service | $30.90 | $40.74 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $12.02 Typical High $15.49 | Professional | 55 · Aftercare only | $9.12 | $12.02 | $15.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $8.13 Typical High $10.23 | Professional | 56 · Pre-op care only | $6.17 | $8.13 | $10.23 |
Ambetter Setting Professional Modifier 57 · Decision for surgery Typical Low $144.54 Median $144.54 Typical High $147.91 | Professional | 57 · Decision for surgery | $144.54 | $144.54 | $147.91 |
Ambetter Setting Professional Modifier 93 · Audio-only telehealth Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 93 · Audio-only telehealth | $72.44 | $72.44 | $72.44 |
Ambetter Setting Professional Modifier FS · Shared visit Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | FS · Shared visit | $95.50 | $95.50 | $95.50 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $67.61 Median $89.13 Typical High $151.36 | Professional | GC · Resident with teaching physician | $67.61 | $89.13 | $151.36 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | Q6 · Substitute physician, paid per time | $173.78 | $173.78 | $173.78 |
Where Mississippi sits
The same service costs 2.3 times more in Alaska than in Alabama. 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· 41st of 51
$89.13
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.