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 $2.88 Median $2.88 Typical High $2.88 | Facility | None | $2.88 | $2.88 | $2.88 |
Aetna Setting Professional Modifier None Typical Low $2.34 Median $3.02 Typical High $5.13 | Professional | None | $2.34 | $3.02 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $2.24 Median $2.24 Typical High $9.55 | Facility | None | $2.24 | $2.24 | $9.55 |
Cigna Setting Professional Modifier None Typical Low $1.78 Median $4.17 Typical High $16.60 | Professional | None | $1.78 | $4.17 | $16.60 |
United Setting Professional Modifier None Typical Low $1.62 Median $2.75 Typical High $3.55 | Professional | None | $1.62 | $2.75 | $3.55 |
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 25 · Same-day visit + 59 · Distinct service + QW · Waived lab test Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | 25 · Same-day visit + 59 · Distinct service + QW · Waived lab test | $2.63 | $2.63 | $2.63 |
Where Delaware sits
The same service costs 3.5 times more in Alaska than in New Jersey. 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· 42nd of 51
$3.02
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.