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 $10.96 Median $18.20 Typical High $20.89 | Facility | None | $10.96 | $18.20 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $18.20 Typical High $20.89 | Professional | None | $7.94 | $18.20 | $20.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.98 Median $9.12 Typical High $10.23 | Professional | 52 · Reduced service | $3.98 | $9.12 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $3.63 Typical High $4.17 | Professional | 53 · Discontinued | $1.62 | $3.63 | $4.17 |
BCBS Mississippi Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
BCBS Mississippi Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $6.61 Median $10.47 Typical High $20.42 | Facility | None | $6.61 | $10.47 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $10.00 Typical High $19.05 | Professional | None | $4.57 | $10.00 | $19.05 |
United Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $12.30 | Facility | None | $9.12 | $9.12 | $12.30 |
United Setting Professional Modifier None Typical Low $4.57 Median $6.92 Typical High $20.89 | Professional | None | $4.57 | $6.92 | $20.89 |
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 $5.13 Median $5.13 Typical High $5.13 | Professional | 90 · Outside lab | $5.13 | $5.13 | $5.13 |
Where Mississippi sits
The same service costs 3.0 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· 9th of 51
$14.45
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.