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 $13.49 Median $22.91 Typical High $25.70 | Facility | None | $13.49 | $22.91 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $22.91 Typical High $25.70 | Professional | None | $10.00 | $22.91 | $25.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.01 Median $11.48 Typical High $12.88 | Professional | 52 · Reduced service | $5.01 | $11.48 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $4.57 Typical High $5.13 | Professional | 53 · Discontinued | $2.00 | $4.57 | $5.13 |
BCBS Mississippi Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
BCBS Mississippi Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $13.18 Typical High $25.12 | Facility | None | $8.32 | $13.18 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $12.59 Typical High $23.99 | Professional | None | $5.75 | $12.59 | $23.99 |
United Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $15.14 | Facility | None | $11.48 | $11.48 | $15.14 |
United Setting Professional Modifier None Typical Low $5.37 Median $8.71 Typical High $25.70 | Professional | None | $5.37 | $8.71 | $25.70 |
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 $6.31 Median $6.31 Typical High $6.31 | Professional | 90 · Outside lab | $6.31 | $6.31 | $6.31 |
Where Mississippi sits
The same service costs 4.7 times more in Kansas than in Nebraska. 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
$19.50
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.