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 $125.89 Median $125.89 Typical High $323.59 | Facility | None | $125.89 | $125.89 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $125.89 Typical High $125.89 | Professional | None | $100.00 | $125.89 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $891.25 | Facility | None | $97.72 | $97.72 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $724.44 | Professional | None | $100.00 | $100.00 | $724.44 |
United Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $223.87 | Professional | None | $63.10 | $91.20 | $223.87 |
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 5.4 times more in Alaska than in Alabama. 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
$100
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.