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 $56.23 Median $60.26 Typical High $77.62 | Facility | None | $56.23 | $60.26 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $70.79 Typical High $77.62 | Professional | None | $58.88 | $70.79 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $35.48 Typical High $38.90 | Professional | 52 · Reduced service | $27.54 | $35.48 | $38.90 |
Ambetter Setting Professional Modifier None Typical Low $67.61 Median $81.28 Typical High $114.82 | Professional | None | $67.61 | $81.28 | $114.82 |
BCBS Mississippi Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
BCBS Mississippi Setting Professional Modifier None Typical Low $77.62 Median $87.10 Typical High $87.10 | Professional | None | $77.62 | $87.10 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $77.62 Typical High $107.15 | Professional | None | $56.23 | $77.62 | $107.15 |
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 $125.89 Median $186.21 Typical High $208.93 | Facility | None | $125.89 | $186.21 | $208.93 |
United Setting Professional Modifier None Typical Low $67.61 Median $77.62 Typical High $107.15 | Professional | None | $67.61 | $77.62 | $107.15 |
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 $69.18 Median $81.28 Typical High $81.28 | Professional | 25 · Same-day visit | $69.18 | $81.28 | $81.28 |
Ambetter Setting Professional Modifier 33 · Preventive service Typical Low $81.28 Median $102.33 Typical High $102.33 | Professional | 33 · Preventive service | $81.28 | $102.33 | $102.33 |
Where Mississippi sits
The same service costs 2.8 times more in Alaska than in New York. 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· 35th of 51
$77.62
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.