How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $7.59 Median $10.72 Typical High $19.95 | Facility | None | $7.59 | $10.72 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $6.92 Median $11.22 Typical High $19.95 | Professional | None | $6.92 | $11.22 | $19.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.47 Median $5.62 Typical High $10.00 | Professional | 52 · Reduced service | $3.47 | $5.62 | $10.00 |
Ambetter Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
BCBS Mississippi Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $23.44 | Professional | None | $15.14 | $15.14 | $23.44 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $46.77 Median $67.61 Typical High $75.86 | Facility | None | $46.77 | $67.61 | $75.86 |
United Setting Professional Modifier None Typical Low $8.71 Median $15.14 Typical High $22.91 | Professional | None | $8.71 | $15.14 | $22.91 |
2 more rates 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 59 · Distinct service Typical Low $14.45 Median $16.98 Typical High $16.98 | Professional | 59 · Distinct service | $14.45 | $16.98 | $16.98 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | XU · Unusual separate service | $17.78 | $17.78 | $17.78 |
Where Mississippi sits
The same service costs 2.3 times more in Alaska than in Louisiana. 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· 32nd of 51
$15.14
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.