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 $102.33 Median $131.83 Typical High $190.55 | Facility | None | $102.33 | $131.83 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $147.91 Typical High $190.55 | Professional | None | $114.82 | $147.91 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $74.13 Typical High $95.50 | Professional | 52 · Reduced service | $57.54 | $74.13 | $95.50 |
Ambetter Setting Professional Modifier None Typical Low $169.82 Median $213.80 Typical High $257.04 | Professional | None | $169.82 | $213.80 | $257.04 |
BCBS Mississippi Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
BCBS Mississippi Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $154.88 Typical High $223.87 | Professional | None | $104.71 | $154.88 | $223.87 |
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 Facility Modifier None Typical Low $165.96 Median $239.88 Typical High $269.15 | Facility | None | $165.96 | $239.88 | $269.15 |
United Setting Professional Modifier None Typical Low $104.71 Median $151.36 Typical High $229.09 | Professional | None | $104.71 | $151.36 | $229.09 |
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 $169.82 Median $213.80 Typical High $213.80 | Professional | 25 · Same-day visit | $169.82 | $213.80 | $213.80 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | GC · Resident with teaching physician | $199.53 | $199.53 | $199.53 |
Where Mississippi sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 15th of 51
$186
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.