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 $1,230.27 Median $1,230.27 Typical High $1,412.54 | Facility | None | $1,230.27 | $1,230.27 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $91.20 Typical High $100.00 | Professional | None | $72.44 | $91.20 | $100.00 |
CareSource Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $173.78 Typical High $1,318.26 | Facility | None | $128.82 | $173.78 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $123.03 Typical High $812.83 | Professional | None | $89.13 | $123.03 | $812.83 |
Highmark BCBS Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $1,737.80 | Facility | None | $616.60 | $616.60 | $1,737.80 |
United Setting Facility Modifier None Typical Low $151.36 Median $436.52 Typical High $2,570.40 | Facility | None | $151.36 | $436.52 | $2,570.40 |
United Setting Professional Modifier None Typical Low $67.61 Median $125.89 Typical High $309.03 | Professional | None | $67.61 | $125.89 | $309.03 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $45.71 Typical High $50.12 | Professional | 52 · Reduced service | $36.31 | $45.71 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $18.20 Typical High $20.42 | Professional | 53 · Discontinued | $14.45 | $18.20 | $20.42 |
Where West Virginia 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.
West Virginia· 37th of 51
$123
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.