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 $34.67 Median $57.54 Typical High $66.07 | Facility | None | $34.67 | $57.54 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $57.54 Typical High $66.07 | Professional | None | $25.70 | $57.54 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $28.84 Typical High $33.11 | Professional | 52 · Reduced service | $12.88 | $28.84 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $11.75 Typical High $13.18 | Professional | 53 · Discontinued | $5.13 | $11.75 | $13.18 |
BCBS Mississippi Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
BCBS Mississippi Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $33.11 Typical High $64.57 | Facility | None | $20.89 | $33.11 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $32.36 Typical High $60.26 | Professional | None | $14.79 | $32.36 | $60.26 |
United Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $38.90 | Facility | None | $28.84 | $28.84 | $38.90 |
United Setting Professional Modifier None Typical Low $14.45 Median $19.05 Typical High $61.66 | Professional | None | $14.45 | $19.05 | $61.66 |
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 $16.22 Median $22.39 Typical High $22.39 | Professional | 90 · Outside lab | $16.22 | $22.39 | $22.39 |
Where Mississippi sits
The same service costs 4.1 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· 11th of 51
$42.66
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.