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 $12.88 Median $21.88 Typical High $24.55 | Facility | None | $12.88 | $21.88 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $21.88 Typical High $24.55 | Professional | None | $9.55 | $21.88 | $24.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.79 Median $10.96 Typical High $12.30 | Professional | 52 · Reduced service | $4.79 | $10.96 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $4.37 Typical High $4.90 | Professional | 53 · Discontinued | $1.91 | $4.37 | $4.90 |
BCBS Mississippi Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
BCBS Mississippi Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $7.76 Typical High $8.13 | Facility | None | $7.76 | $7.76 | $8.13 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $43.65 | Professional | None | $5.50 | $5.50 | $43.65 |
United Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $14.45 | Facility | None | $10.96 | $10.96 | $14.45 |
United Setting Professional Modifier None Typical Low $5.01 Median $6.31 Typical High $26.92 | Professional | None | $5.01 | $6.31 | $26.92 |
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 59 · Distinct service Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | 59 · Distinct service | $7.59 | $7.59 | $7.59 |
Where Mississippi sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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· 2nd of 51
$21.88
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.