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 $70.79 Median $93.33 Typical High $128.82 | Facility | None | $70.79 | $93.33 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $97.72 Typical High $128.82 | Professional | None | $70.79 | $97.72 | $128.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $48.98 Typical High $64.57 | Professional | 52 · Reduced service | $35.48 | $48.98 | $64.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $14.79 Typical High $19.50 | Professional | 55 · Aftercare only | $10.47 | $14.79 | $19.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $9.77 Typical High $12.88 | Professional | 56 · Pre-op care only | $7.08 | $9.77 | $12.88 |
Ambetter Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $141.25 | Professional | None | $134.90 | $134.90 | $141.25 |
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 $107.15 Median $123.03 Typical High $123.03 | Professional | None | $107.15 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $95.50 Typical High $141.25 | Professional | None | $70.79 | $95.50 | $141.25 |
Molina Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $123.03 | Professional | None | $21.38 | $25.12 | $123.03 |
United Setting Professional Modifier None Typical Low $75.86 Median $100.00 Typical High $123.03 | Professional | None | $75.86 | $100.00 | $123.03 |
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 $114.82 Median $141.25 Typical High $141.25 | Professional | 25 · Same-day visit | $114.82 | $141.25 | $141.25 |
Ambetter Setting Professional Modifier EP · Child screening program Typical Low $120.23 Median $120.23 Typical High $154.88 | Professional | EP · Child screening program | $120.23 | $120.23 | $154.88 |
Where Mississippi sits
The same service costs 2.8 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· 38th of 51
$100
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.