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 Professional Modifier None Typical Low $1,949.84 Median $2,137.96 Typical High $2,511.89 | Professional | None | $1,949.84 | $2,137.96 | $2,511.89 |
CareSource Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $3,890.45 | Professional | None | $2,344.23 | $2,344.23 | $3,890.45 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $3,890.45 | Facility | None | $34.67 | $34.67 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $2,344.23 Median $2,951.21 Typical High $10,715.19 | Professional | None | $2,344.23 | $2,951.21 | $10,715.19 |
United Setting Facility Modifier None Typical Low $151.36 Median $660.69 Typical High $1,778.28 | Facility | None | $151.36 | $660.69 | $1,778.28 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $2,290.87 Typical High $4,466.84 | Professional | None | $1,819.70 | $2,290.87 | $4,466.84 |
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 Professional Modifier GC · Resident with teaching physician Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | GC · Resident with teaching physician | $2,951.21 | $2,951.21 | $2,951.21 |
Where West Virginia sits
The same service costs 3.2 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· 31st of 51
$2,399
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.