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 $4.17 Median $7.08 Typical High $7.94 | Facility | None | $4.17 | $7.08 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $3.09 Median $7.08 Typical High $7.94 | Professional | None | $3.09 | $7.08 | $7.94 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.55 Median $3.55 Typical High $3.98 | Professional | 52 · Reduced service | $1.55 | $3.55 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $1.41 Typical High $1.58 | Professional | 53 · Discontinued | $0.62 | $1.41 | $1.58 |
Ambetter Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $2.75 | Professional | None | $1.95 | $1.95 | $2.75 |
BCBS Mississippi Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Facility | None | $5.75 | $5.75 | $5.75 |
BCBS Mississippi Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | None | $5.13 | $5.13 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $2.51 Median $4.37 Typical High $7.76 | Facility | None | $2.51 | $4.37 | $7.76 |
Cigna Setting Professional Modifier None Typical Low $1.78 Median $3.98 Typical High $7.24 | Professional | None | $1.78 | $3.98 | $7.24 |
United Setting Facility Modifier None Typical Low $3.55 Median $3.55 Typical High $4.68 | Facility | None | $3.55 | $3.55 | $4.68 |
United Setting Professional Modifier None Typical Low $2.34 Median $3.72 Typical High $11.48 | Professional | None | $2.34 | $3.72 | $11.48 |
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 QW · Waived lab test Typical Low $1.66 Median $1.82 Typical High $2.45 | Professional | QW · Waived lab test | $1.66 | $1.82 | $2.45 |
Where Mississippi sits
The same service costs 12.6 times more in Vermont than in Washington, DC. 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· 16th of 51
$5.13
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.