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 $26.92 Median $45.71 Typical High $61.66 | Facility | None | $26.92 | $45.71 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $45.71 Typical High $51.29 | Professional | None | $19.95 | $45.71 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.00 Median $22.91 Typical High $25.70 | Professional | 52 · Reduced service | $10.00 | $22.91 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $9.12 Typical High $10.23 | Professional | 53 · Discontinued | $3.98 | $9.12 | $10.23 |
BCBS Mississippi Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
BCBS Mississippi Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $26.30 Typical High $51.29 | Facility | None | $16.60 | $26.30 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $25.12 Typical High $47.86 | Professional | None | $11.48 | $25.12 | $47.86 |
United Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $30.20 | Facility | None | $22.91 | $22.91 | $30.20 |
United Setting Professional Modifier None Typical Low $11.48 Median $17.38 Typical High $51.29 | Professional | None | $11.48 | $17.38 | $51.29 |
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 $12.59 Median $12.59 Typical High $12.59 | Professional | 90 · Outside lab | $12.59 | $12.59 | $12.59 |
Where Mississippi sits
The same service costs 3.7 times more in Kansas 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· 6th of 51
$39.81
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.