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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $173.78 Typical High $177.83 | Professional | None | $138.04 | $173.78 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $446.68 | Facility | None | $134.90 | $134.90 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $147.91 Typical High $1,000.00 | Professional | None | $138.04 | $147.91 | $1,000.00 |
United Setting Professional Modifier None Typical Low $87.10 Median $125.89 Typical High $309.03 | Professional | None | $87.10 | $125.89 | $309.03 |
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 $208.93 Median $208.93 Typical High $407.38 | Facility | 59 · Distinct service | $208.93 | $208.93 | $407.38 |
Where Delaware sits
The same service costs 5.1 times more in California than in Delaware. 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· 51st of 51
$138
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.