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 $61.66 Median $81.28 Typical High $117.49 | Facility | None | $61.66 | $81.28 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $91.20 Typical High $117.49 | Professional | None | $61.66 | $91.20 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $45.71 Typical High $58.88 | Professional | 52 · Reduced service | $30.90 | $45.71 | $58.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $13.49 Typical High $17.78 | Professional | 55 · Aftercare only | $9.33 | $13.49 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $9.12 Typical High $11.75 | Professional | 56 · Pre-op care only | $6.17 | $9.12 | $11.75 |
Ambetter Setting Professional Modifier None Typical Low $104.71 Median $112.20 Typical High $141.25 | Professional | None | $104.71 | $112.20 | $141.25 |
BCBS Mississippi Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
BCBS Mississippi Setting Professional Modifier None Typical Low $123.03 Median $138.04 Typical High $138.04 | Professional | None | $123.03 | $138.04 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $85.11 Typical High $128.82 | Professional | None | $63.10 | $85.11 | $128.82 |
Molina Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $112.20 | Professional | None | $21.38 | $25.12 | $112.20 |
United Setting Professional Modifier None Typical Low $66.07 Median $91.20 Typical High $112.20 | Professional | None | $66.07 | $91.20 | $112.20 |
2 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $89.13 Median $89.13 Typical High $104.71 | Professional | 25 · Same-day visit | $89.13 | $89.13 | $104.71 |
Ambetter Setting Professional Modifier EP · Child screening program Typical Low $61.66 Median $61.66 Typical High $131.83 | Professional | EP · Child screening program | $61.66 | $61.66 | $131.83 |
Where Mississippi sits
The same service costs 2.9 times more in Alaska than in Washington, DC. 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· 32nd of 51
$97.72
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.