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 $79.43 Median $104.71 Typical High $141.25 | Facility | None | $79.43 | $104.71 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $107.15 Typical High $141.25 | Professional | None | $79.43 | $107.15 | $141.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $53.70 Typical High $70.79 | Professional | 52 · Reduced service | $39.81 | $53.70 | $70.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $16.22 Typical High $21.38 | Professional | 55 · Aftercare only | $12.02 | $16.22 | $21.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $10.72 Typical High $14.13 | Professional | 56 · Pre-op care only | $7.94 | $10.72 | $14.13 |
Ambetter Setting Professional Modifier None Typical Low $104.71 Median $147.91 Typical High $173.78 | Professional | None | $104.71 | $147.91 | $173.78 |
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 $117.49 Median $134.90 Typical High $134.90 | Professional | None | $117.49 | $134.90 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $104.71 Typical High $154.88 | Professional | None | $81.28 | $104.71 | $154.88 |
Molina Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $134.90 | Professional | None | $21.38 | $25.12 | $134.90 |
United Setting Professional Modifier None Typical Low $85.11 Median $109.65 Typical High $134.90 | Professional | None | $85.11 | $109.65 | $134.90 |
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 $104.71 Median $131.83 Typical High $154.88 | Professional | 25 · Same-day visit | $104.71 | $131.83 | $154.88 |
Where Mississippi sits
The same service costs 2.7 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· 33rd of 51
$117
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.