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 $16.60 Median $28.18 Typical High $38.02 | Facility | None | $16.60 | $28.18 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $28.18 Typical High $31.62 | Professional | None | $12.30 | $28.18 | $31.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.17 Median $13.80 Typical High $15.85 | Professional | 52 · Reduced service | $6.17 | $13.80 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $5.62 Typical High $6.31 | Professional | 53 · Discontinued | $2.45 | $5.62 | $6.31 |
BCBS Mississippi Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
BCBS Mississippi Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $15.85 Typical High $30.90 | Facility | None | $10.00 | $15.85 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $15.49 Typical High $29.51 | Professional | None | $7.08 | $15.49 | $29.51 |
United Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $18.62 | Facility | None | $13.80 | $13.80 | $18.62 |
United Setting Professional Modifier None Typical Low $6.61 Median $8.13 Typical High $29.51 | Professional | None | $6.61 | $8.13 | $29.51 |
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 $7.76 Median $7.76 Typical High $7.76 | Professional | 90 · Outside lab | $7.76 | $7.76 | $7.76 |
Where Mississippi sits
The same service costs 4.2 times more in Kansas 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· 11th of 51
$21.38
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.