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 $83.18 Median $83.18 Typical High $93.33 | Facility | None | $83.18 | $83.18 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $22.91 Typical High $36.31 | Professional | None | $21.38 | $22.91 | $36.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $41.69 Typical High $46.77 | Professional | 52 · Reduced service | $18.20 | $41.69 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $16.60 Typical High $18.62 | Professional | 53 · Discontinued | $7.24 | $16.60 | $18.62 |
BCBS Mississippi Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
BCBS Mississippi Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $31.62 Typical High $38.90 | Facility | None | $30.20 | $31.62 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
United Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $56.23 | Facility | None | $41.69 | $41.69 | $56.23 |
United Setting Professional Modifier None Typical Low $7.94 Median $11.75 Typical High $35.48 | Professional | None | $7.94 | $11.75 | $35.48 |
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 $28.84 Median $28.84 Typical High $28.84 | Professional | 90 · Outside lab | $28.84 | $28.84 | $28.84 |
Where Mississippi sits
The same service costs 4.9 times more in Alaska than in Kentucky. 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· 35th of 51
$28.18
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.