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 $74.13 Median $109.65 Typical High $7,244.36 | Facility | None | $74.13 | $109.65 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $109.65 Typical High $199.53 | Professional | None | $74.13 | $109.65 | $199.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $38.02 Typical High $54.95 | Professional | 52 · Reduced service | $34.67 | $38.02 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $15.14 Typical High $22.39 | Professional | 53 · Discontinued | $13.80 | $15.14 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $97.72 Typical High $125.89 | Facility | None | $70.79 | $97.72 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $120.23 Typical High $181.97 | Professional | None | $95.50 | $120.23 | $181.97 |
United Setting Facility Modifier None Typical Low $229.09 Median $398.11 Typical High $1,698.24 | Facility | None | $229.09 | $398.11 | $1,698.24 |
United Setting Professional Modifier None Typical Low $74.13 Median $117.49 Typical High $186.21 | Professional | None | $74.13 | $117.49 | $186.21 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Facility Modifier 59 · Distinct service Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | 59 · Distinct service | $2,754.23 | $2,754.23 | $2,754.23 |
Where Delaware sits
The same service costs 2.8 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.
Delaware· 41st of 51
$117
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.