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 $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $537.03 Typical High $549.54 | Professional | None | $426.58 | $537.03 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $933.25 | Facility | None | $416.87 | $416.87 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $398.11 Typical High $3,090.30 | Professional | None | $147.91 | $398.11 | $3,090.30 |
United Setting Professional Modifier None Typical Low $120.23 Median $269.15 Typical High $954.99 | Professional | None | $120.23 | $269.15 | $954.99 |
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 5.0 times more in Alaska than in North Carolina. 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· 50th of 51
$389
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.