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 $15.14 Median $25.70 Typical High $28.84 | Facility | None | $15.14 | $25.70 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $25.70 Typical High $28.84 | Professional | None | $11.22 | $25.70 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $12.59 Typical High $14.45 | Professional | 52 · Reduced service | $5.62 | $12.59 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $5.13 Typical High $5.75 | Professional | 53 · Discontinued | $2.24 | $5.13 | $5.75 |
BCBS Mississippi Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
BCBS Mississippi Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $14.45 Typical High $28.18 | Facility | None | $9.12 | $14.45 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $14.13 Typical High $26.30 | Professional | None | $6.46 | $14.13 | $26.30 |
United Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $16.98 | Facility | None | $12.59 | $12.59 | $16.98 |
United Setting Professional Modifier None Typical Low $5.89 Median $8.51 Typical High $26.92 | Professional | None | $5.89 | $8.51 | $26.92 |
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 $7.08 Median $7.08 Typical High $7.08 | Professional | 90 · Outside lab | $7.08 | $7.08 | $7.08 |
Where Mississippi sits
The same service costs 7.4 times more in Vermont than in Nebraska. 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· 11th of 51
$19.05
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.