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 $6.92 Median $11.75 Typical High $13.18 | Facility | None | $6.92 | $11.75 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $5.13 Median $11.75 Typical High $13.18 | Professional | None | $5.13 | $11.75 | $13.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.57 Median $5.89 Typical High $6.61 | Professional | 52 · Reduced service | $2.57 | $5.89 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.02 Median $2.34 Typical High $2.63 | Professional | 53 · Discontinued | $1.02 | $2.34 | $2.63 |
BCBS Mississippi Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
BCBS Mississippi Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $4.17 Median $6.76 Typical High $13.18 | Facility | None | $4.17 | $6.76 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $6.46 Typical High $12.30 | Professional | None | $2.95 | $6.46 | $12.30 |
United Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $7.76 | Facility | None | $5.75 | $5.75 | $7.76 |
United Setting Professional Modifier None Typical Low $2.88 Median $4.47 Typical High $13.18 | Professional | None | $2.88 | $4.47 | $13.18 |
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 $4.37 Median $4.37 Typical High $4.37 | Professional | 90 · Outside lab | $4.37 | $4.37 | $4.37 |
Where Mississippi sits
The same service costs 3.7 times more in Alaska 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· 6th of 51
$10.00
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.