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 $40.74 Median $67.61 Typical High $75.86 | Facility | None | $40.74 | $67.61 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $67.61 Typical High $75.86 | Professional | None | $9.55 | $67.61 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.79 Median $33.88 Typical High $38.02 | Professional | 52 · Reduced service | $4.79 | $33.88 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $13.49 Typical High $15.49 | Professional | 53 · Discontinued | $1.95 | $13.49 | $15.49 |
BCBS Mississippi Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
BCBS Mississippi Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
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 $16.98 Median $16.98 Typical High $43.65 | Professional | None | $16.98 | $16.98 | $43.65 |
United Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $45.71 | Facility | None | $33.88 | $33.88 | $45.71 |
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 90 · Outside lab Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 90 · Outside lab | $26.30 | $26.30 | $26.30 |
Where Mississippi sits
The same service costs 10.0 times more in Alaska than in New Jersey. 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· 5th of 51
$38.90
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.