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 $11.48 Median $19.50 Typical High $21.88 | Facility | None | $11.48 | $19.50 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $19.50 Typical High $21.88 | Professional | None | $8.51 | $19.50 | $21.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.27 Median $9.77 Typical High $10.96 | Professional | 52 · Reduced service | $4.27 | $9.77 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $3.89 Typical High $4.37 | Professional | 53 · Discontinued | $1.70 | $3.89 | $4.37 |
BCBS Mississippi Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
BCBS Mississippi Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $11.22 Typical High $21.38 | Facility | None | $7.08 | $11.22 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $10.96 Typical High $20.42 | Professional | None | $4.90 | $10.96 | $20.42 |
United Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $12.88 | Facility | None | $9.77 | $9.77 | $12.88 |
United Setting Professional Modifier None Typical Low $4.90 Median $7.41 Typical High $21.88 | Professional | None | $4.90 | $7.41 | $21.88 |
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 $5.37 Median $5.37 Typical High $5.37 | Professional | 90 · Outside lab | $5.37 | $5.37 | $5.37 |
Where Mississippi sits
The same service costs 4.9 times more in South Carolina 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· 4th of 51
$18.20
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.