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 $4.57 Median $7.76 Typical High $10.47 | Facility | None | $4.57 | $7.76 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $7.76 Typical High $8.71 | Professional | None | $3.39 | $7.76 | $8.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.70 Median $3.89 Typical High $4.37 | Professional | 52 · Reduced service | $1.70 | $3.89 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $1.55 Typical High $1.74 | Professional | 53 · Discontinued | $0.68 | $1.55 | $1.74 |
Ambetter Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $3.24 | Professional | None | $2.14 | $2.14 | $3.24 |
BCBS Mississippi Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | None | $8.13 | $8.13 | $8.13 |
BCBS Mississippi Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | None | $6.76 | $6.76 | $6.76 |
Cigna Setting Facility Modifier None Typical Low $2.82 Median $4.37 Typical High $7.76 | Facility | None | $2.82 | $4.37 | $7.76 |
Cigna Setting Professional Modifier None Typical Low $1.95 Median $3.98 Typical High $7.41 | Professional | None | $1.95 | $3.98 | $7.41 |
United Setting Facility Modifier None Typical Low $3.89 Median $3.89 Typical High $5.13 | Facility | None | $3.89 | $3.89 | $5.13 |
United Setting Professional Modifier None Typical Low $2.57 Median $3.72 Typical High $11.48 | Professional | None | $2.57 | $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 $2.00 Median $2.69 Typical High $3.02 | Professional | QW · Waived lab test | $2.00 | $2.69 | $3.02 |
Where Mississippi sits
The same service costs 14.8 times more in Minnesota 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· 16th of 51
$5.50
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.