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 $13.18 Median $21.88 Typical High $25.12 | Facility | None | $13.18 | $21.88 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $21.88 Typical High $25.12 | Professional | None | $9.77 | $21.88 | $25.12 |
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 $1.95 Median $4.37 Typical High $5.01 | Professional | 53 · Discontinued | $1.95 | $4.37 | $5.01 |
BCBS Mississippi Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
BCBS Mississippi Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $12.59 Typical High $24.55 | Facility | None | $7.94 | $12.59 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $12.30 Typical High $23.44 | Professional | None | $5.50 | $12.30 | $23.44 |
United Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $14.79 | Facility | None | $10.96 | $10.96 | $14.79 |
United Setting Professional Modifier None Typical Low $5.25 Median $8.32 Typical High $25.12 | Professional | None | $5.25 | $8.32 | $25.12 |
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 91 · Repeat lab test Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 91 · Repeat lab test | $6.17 | $6.17 | $6.17 |
Where Mississippi sits
The same service costs 3.7 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· 6th of 51
$19.05
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.