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 $26.92 Median $30.90 Typical High $38.90 | Facility | None | $26.92 | $30.90 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $38.02 Typical High $45.71 | Professional | None | $30.20 | $38.02 | $45.71 |
Ambetter Setting Professional Modifier None Typical Low $42.66 Median $52.48 Typical High $58.88 | Professional | None | $42.66 | $52.48 | $58.88 |
BCBS Mississippi Setting Facility Modifier None Typical Low $60.26 Median $63.10 Typical High $63.10 | Facility | None | $60.26 | $63.10 | $63.10 |
BCBS Mississippi Setting Professional Modifier None Typical Low $45.71 Median $51.29 Typical High $51.29 | Professional | None | $45.71 | $51.29 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $42.66 Typical High $54.95 | Professional | None | $37.15 | $42.66 | $54.95 |
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 $35.48 Median $37.15 Typical High $50.12 | Professional | None | $35.48 | $37.15 | $50.12 |
6 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 $18.20 Median $22.39 Typical High $22.91 | Professional | 52 · Reduced service | $18.20 | $22.39 | $22.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.50 Median $6.76 Typical High $6.92 | Professional | 55 · Aftercare only | $5.50 | $6.76 | $6.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $4.47 Typical High $4.57 | Professional | 56 · Pre-op care only | $3.63 | $4.47 | $4.57 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $52.48 Median $52.48 Typical High $58.88 | Professional | 25 · Same-day visit | $52.48 | $52.48 | $58.88 |
Ambetter Setting Professional Modifier FS · Shared visit Typical Low $58.88 Median $58.88 Typical High $66.07 | Professional | FS · Shared visit | $58.88 | $58.88 | $66.07 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $50.12 Median $54.95 Typical High $58.88 | Professional | GC · Resident with teaching physician | $50.12 | $54.95 | $58.88 |
Where Mississippi sits
The same service costs 2.7 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· 42nd of 51
$44.67
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.