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 $44.67 Median $56.23 Typical High $64.57 | Facility | None | $44.67 | $56.23 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $64.57 Typical High $91.20 | Professional | None | $50.12 | $64.57 | $91.20 |
Ambetter Setting Professional Modifier None Typical Low $70.79 Median $89.13 Typical High $102.33 | Professional | None | $70.79 | $89.13 | $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 $74.13 Median $83.18 Typical High $83.18 | Professional | None | $74.13 | $83.18 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $75.86 Typical High $97.72 | Professional | None | $64.57 | $75.86 | $97.72 |
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 $64.57 Median $72.44 Typical High $91.20 | Professional | None | $64.57 | $72.44 | $91.20 |
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 $29.51 Median $37.15 Typical High $38.02 | Professional | 52 · Reduced service | $29.51 | $37.15 | $38.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $10.96 Typical High $11.48 | Professional | 55 · Aftercare only | $8.91 | $10.96 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $7.41 Typical High $7.59 | Professional | 56 · Pre-op care only | $6.03 | $7.41 | $7.59 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $75.86 Median $85.11 Typical High $91.20 | Professional | 25 · Same-day visit | $75.86 | $85.11 | $91.20 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $70.79 Median $89.13 Typical High $102.33 | Professional | GC · Resident with teaching physician | $70.79 | $89.13 | $102.33 |
Where Mississippi sits
The same service costs 2.3 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
$75.86
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.