How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $79.43 Median $87.10 Typical High $112.20 | Facility | None | $79.43 | $87.10 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $100.00 Typical High $117.49 | Professional | None | $87.10 | $100.00 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $50.12 Typical High $56.23 | Professional | 52 · Reduced service | $40.74 | $50.12 | $56.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $15.14 Typical High $16.60 | Professional | 55 · Aftercare only | $12.02 | $15.14 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $10.00 Typical High $11.22 | Professional | 56 · Pre-op care only | $8.13 | $10.00 | $11.22 |
Ambetter Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $213.80 | Professional | None | $81.28 | $81.28 | $213.80 |
BCBS Mississippi Setting Professional Modifier None Typical Low $141.25 Median $162.18 Typical High $162.18 | Professional | None | $141.25 | $162.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $2,137.96 | Facility | None | $1,288.25 | $1,288.25 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $151.36 | Professional | None | $97.72 | $114.82 | $151.36 |
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 $100.00 Median $114.82 Typical High $154.88 | Professional | None | $100.00 | $114.82 | $154.88 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $95.50 Median $120.23 Typical High $120.23 | Professional | 25 · Same-day visit | $95.50 | $120.23 | $120.23 |
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· 41st of 51
$112
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.