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 $30.20 Median $50.12 Typical High $56.23 | Facility | None | $30.20 | $50.12 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $50.12 Typical High $56.23 | Professional | None | $21.88 | $50.12 | $56.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $25.12 Typical High $28.18 | Professional | 52 · Reduced service | $10.96 | $25.12 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $10.00 Typical High $11.22 | Professional | 53 · Discontinued | $4.37 | $10.00 | $11.22 |
BCBS Mississippi Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
BCBS Mississippi Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $19.05 Typical High $20.42 | Facility | None | $18.20 | $19.05 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $19.50 Typical High $33.88 | Professional | None | $12.30 | $19.50 | $33.88 |
United Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $33.88 | Facility | None | $25.12 | $25.12 | $33.88 |
United Setting Professional Modifier None Typical Low $11.75 Median $15.49 Typical High $61.66 | Professional | None | $11.75 | $15.49 | $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 $14.13 Median $14.13 Typical High $14.13 | Professional | 90 · Outside lab | $14.13 | $14.13 | $14.13 |
Where Mississippi sits
The same service costs 3.8 times more in Alaska 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· 17th of 51
$28.18
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.