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 $28.84 Median $48.98 Typical High $54.95 | Facility | None | $28.84 | $48.98 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $48.98 Typical High $54.95 | Professional | None | $21.38 | $48.98 | $54.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $24.55 Typical High $27.54 | Professional | 52 · Reduced service | $10.72 | $24.55 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $9.77 Typical High $10.96 | Professional | 53 · Discontinued | $4.27 | $9.77 | $10.96 |
BCBS Mississippi Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $18.62 Typical High $19.95 | Facility | None | $17.78 | $18.62 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $18.20 Typical High $32.36 | Professional | None | $12.02 | $18.20 | $32.36 |
United Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $32.36 | Facility | None | $24.55 | $24.55 | $32.36 |
United Setting Professional Modifier None Typical Low $11.48 Median $13.49 Typical High $60.26 | Professional | None | $11.48 | $13.49 | $60.26 |
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 90 · Outside lab Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | 90 · Outside lab | $13.49 | $13.49 | $13.49 |
Where Mississippi sits
The same service costs 4.0 times more in Alaska than in Alabama. 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· 12th of 51
$28.84
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.