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 $26.30 Median $43.65 Typical High $50.12 | Facility | None | $26.30 | $43.65 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $43.65 Typical High $50.12 | Professional | None | $19.50 | $43.65 | $50.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.77 Median $21.88 Typical High $25.12 | Professional | 52 · Reduced service | $9.77 | $21.88 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $8.91 Typical High $10.00 | Professional | 53 · Discontinued | $3.89 | $8.91 | $10.00 |
BCBS Mississippi Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
BCBS Mississippi Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $25.12 Typical High $48.98 | Facility | None | $15.85 | $25.12 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $24.55 Typical High $46.77 | Professional | None | $11.22 | $24.55 | $46.77 |
United Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $29.51 | Facility | None | $21.88 | $21.88 | $29.51 |
United Setting Professional Modifier None Typical Low $10.47 Median $16.60 Typical High $50.12 | Professional | None | $10.47 | $16.60 | $50.12 |
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 $12.30 Median $12.30 Typical High $12.30 | Professional | 90 · Outside lab | $12.30 | $12.30 | $12.30 |
Where Mississippi sits
The same service costs 3.4 times more in Alaska 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· 5th of 51
$36.31
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.