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 $10.00 Median $12.02 Typical High $15.85 | Facility | None | $10.00 | $12.02 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $13.18 Typical High $15.85 | Professional | None | $10.00 | $13.18 | $15.85 |
Ambetter Setting Professional Modifier None Typical Low $10.96 Median $15.14 Typical High $19.95 | Professional | None | $10.96 | $15.14 | $19.95 |
BCBS Mississippi Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $15.49 | Facility | None | $14.13 | $14.13 | $15.49 |
BCBS Mississippi Setting Professional Modifier None Typical Low $16.98 Median $18.62 Typical High $18.62 | Professional | None | $16.98 | $18.62 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $12.88 Typical High $19.05 | Professional | None | $10.96 | $12.88 | $19.05 |
Molina Setting Professional Modifier None Typical Low $16.60 Median $33.11 Typical High $33.11 | Professional | None | $16.60 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $46.77 Median $67.61 Typical High $75.86 | Facility | None | $46.77 | $67.61 | $75.86 |
United Setting Professional Modifier None Typical Low $10.72 Median $12.59 Typical High $15.85 | Professional | None | $10.72 | $12.59 | $15.85 |
4 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 $14.13 Median $19.05 Typical High $22.91 | Professional | 25 · Same-day visit | $14.13 | $19.05 | $22.91 |
Ambetter Setting Professional Modifier 33 · Preventive service Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 33 · Preventive service | $17.78 | $17.78 | $17.78 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $14.13 Median $14.13 Typical High $19.95 | Professional | GC · Resident with teaching physician | $14.13 | $14.13 | $19.95 |
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | SA · Nurse practitioner | $12.30 | $12.30 | $12.30 |
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· 34th of 51
$13.49
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.