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 $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $501.19 Typical High $501.19 | Professional | None | $398.11 | $501.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $1,202.26 | Facility | None | $389.05 | $389.05 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $398.11 Typical High $2,884.03 | Professional | None | $309.03 | $398.11 | $2,884.03 |
United Setting Professional Modifier None Typical Low $251.19 Median $363.08 Typical High $891.25 | Professional | None | $251.19 | $363.08 | $891.25 |
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 Nebraska. 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
$398
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.