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 $8.13 Median $13.49 Typical High $18.20 | Facility | None | $8.13 | $13.49 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $13.49 Typical High $15.14 | Professional | None | $5.89 | $13.49 | $15.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.95 Median $6.76 Typical High $7.59 | Professional | 52 · Reduced service | $2.95 | $6.76 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.20 Median $2.69 Typical High $3.02 | Professional | 53 · Discontinued | $1.20 | $2.69 | $3.02 |
Ambetter Setting Professional Modifier None Typical Low $3.24 Median $3.80 Typical High $5.25 | Professional | None | $3.24 | $3.80 | $5.25 |
BCBS Mississippi Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
BCBS Mississippi Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $4.90 Median $8.32 Typical High $15.14 | Facility | None | $4.90 | $8.32 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $7.41 Typical High $14.13 | Professional | None | $3.47 | $7.41 | $14.13 |
United Setting Facility Modifier None Typical Low $6.76 Median $6.76 Typical High $9.12 | Facility | None | $6.76 | $6.76 | $9.12 |
United Setting Professional Modifier None Typical Low $3.39 Median $5.13 Typical High $15.49 | Professional | None | $3.39 | $5.13 | $15.49 |
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 $3.80 Median $4.47 Typical High $5.25 | Professional | QW · Waived lab test | $3.80 | $4.47 | $5.25 |
Where Mississippi sits
The same service costs 21.4 times more in Vermont 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· 17th of 51
$9.77
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.