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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $162.18 Typical High $162.18 | Professional | None | $128.82 | $162.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $354.81 | Facility | None | $125.89 | $125.89 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $128.82 Typical High $933.25 | Professional | None | $102.33 | $128.82 | $933.25 |
United Setting Professional Modifier None Typical Low $81.28 Median $114.82 Typical High $288.40 | Professional | None | $81.28 | $114.82 | $288.40 |
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 XU · Unusual separate service Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | XU · Unusual separate service | $151.36 | $151.36 | $151.36 |
Where Delaware sits
The same service costs 3.4 times more in Alaska 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
$129
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.