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 $60.26 Typical High $79.43 | Facility | None | $45.71 | $60.26 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $66.07 Typical High $87.10 | Professional | None | $51.29 | $66.07 | $87.10 |
Ambetter Setting Professional Modifier None Typical Low $70.79 Median $85.11 Typical High $102.33 | Professional | None | $70.79 | $85.11 | $102.33 |
BCBS Mississippi Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
BCBS Mississippi Setting Professional Modifier None Typical Low $81.28 Median $91.20 Typical High $91.20 | Professional | None | $81.28 | $91.20 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $97.72 Typical High $125.89 | Professional | None | $77.62 | $97.72 | $125.89 |
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 $77.62 Median $95.50 Typical High $128.82 | Professional | None | $77.62 | $95.50 | $128.82 |
5 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 $30.20 Median $38.90 Typical High $39.81 | Professional | 52 · Reduced service | $30.20 | $38.90 | $39.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $11.48 Typical High $12.02 | Professional | 55 · Aftercare only | $9.12 | $11.48 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $7.76 Typical High $7.94 | Professional | 56 · Pre-op care only | $6.03 | $7.76 | $7.94 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $70.79 Median $95.50 Typical High $100.00 | Professional | 25 · Same-day visit | $70.79 | $95.50 | $100.00 |
Ambetter Setting Professional Modifier 57 · Decision for surgery Typical Low $85.11 Median $91.20 Typical High $95.50 | Professional | 57 · Decision for surgery | $85.11 | $91.20 | $95.50 |
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· 46th of 51
$85.11
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.