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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $177.83 Typical High $181.97 | Professional | None | $144.54 | $177.83 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $309.03 | Facility | None | $138.04 | $138.04 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $141.25 Typical High $1,023.29 | Professional | None | $79.43 | $141.25 | $1,023.29 |
United Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $323.59 | Professional | None | $63.10 | $91.20 | $323.59 |
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 3.7 times more in Alaska than in Oklahoma. 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· 49th 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.