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 $22.39 Median $38.02 Typical High $42.66 | Facility | None | $22.39 | $38.02 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $38.02 Typical High $42.66 | Professional | None | $16.60 | $38.02 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.32 Median $19.05 Typical High $21.38 | Professional | 52 · Reduced service | $8.32 | $19.05 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $7.59 Typical High $8.51 | Professional | 53 · Discontinued | $3.31 | $7.59 | $8.51 |
BCBS Mississippi Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
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 $13.80 Median $21.88 Typical High $41.69 | Facility | None | $13.80 | $21.88 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $20.89 Typical High $39.81 | Professional | None | $9.55 | $20.89 | $39.81 |
United Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $25.12 | Facility | None | $19.05 | $19.05 | $25.12 |
United Setting Professional Modifier None Typical Low $9.55 Median $12.59 Typical High $39.81 | Professional | None | $9.55 | $12.59 | $39.81 |
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 $10.47 Median $10.47 Typical High $10.47 | Professional | 90 · Outside lab | $10.47 | $10.47 | $10.47 |
Where Mississippi sits
The same service costs 3.0 times more in Alaska than in Maryland. 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
$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.