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 $16.22 Median $26.92 Typical High $30.20 | Facility | None | $16.22 | $26.92 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $26.92 Typical High $30.20 | Professional | None | $11.75 | $26.92 | $30.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.89 Median $13.49 Typical High $15.14 | Professional | 52 · Reduced service | $5.89 | $13.49 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $5.37 Typical High $6.17 | Professional | 53 · Discontinued | $2.34 | $5.37 | $6.17 |
BCBS Mississippi Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
BCBS Mississippi Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $15.49 Typical High $30.20 | Facility | None | $9.77 | $15.49 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $15.14 Typical High $28.18 | Professional | None | $6.92 | $15.14 | $28.18 |
United Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $18.20 | Facility | None | $13.49 | $13.49 | $18.20 |
United Setting Professional Modifier None Typical Low $6.31 Median $10.23 Typical High $30.90 | Professional | None | $6.31 | $10.23 | $30.90 |
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 $7.59 Median $7.59 Typical High $7.59 | Professional | 90 · Outside lab | $7.59 | $7.59 | $7.59 |
Where Mississippi sits
The same service costs 4.3 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· 4th of 51
$26.30
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.