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 $13.80 Median $23.44 Typical High $26.30 | Facility | None | $13.80 | $23.44 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $23.44 Typical High $26.30 | Professional | None | $10.23 | $23.44 | $26.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.13 Median $11.75 Typical High $13.18 | Professional | 52 · Reduced service | $5.13 | $11.75 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $4.68 Typical High $5.25 | Professional | 53 · Discontinued | $2.04 | $4.68 | $5.25 |
BCBS Mississippi Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
BCBS Mississippi Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $13.49 Typical High $25.70 | Facility | None | $8.51 | $13.49 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $13.18 Typical High $24.55 | Professional | None | $6.03 | $13.18 | $24.55 |
United Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $15.49 | Facility | None | $11.75 | $11.75 | $15.49 |
United Setting Professional Modifier None Typical Low $5.50 Median $8.91 Typical High $26.30 | Professional | None | $5.50 | $8.91 | $26.30 |
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 $6.46 Median $9.12 Typical High $9.12 | Professional | 90 · Outside lab | $6.46 | $9.12 | $9.12 |
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· 5th of 51
$18.62
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.