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 $3.89 Median $3.98 Typical High $12.59 | Facility | None | $3.89 | $3.98 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $4.37 Typical High $6.61 | Professional | None | $3.72 | $4.37 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $3.09 Median $3.09 Typical High $8.71 | Facility | None | $3.09 | $3.09 | $8.71 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $5.75 Typical High $32.36 | Professional | None | $3.39 | $5.75 | $32.36 |
Highmark BCBS Setting Facility Modifier None Typical Low $12.02 Median $12.59 Typical High $31.62 | Facility | None | $12.02 | $12.59 | $31.62 |
United Setting Professional Modifier None Typical Low $3.02 Median $3.80 Typical High $6.61 | Professional | None | $3.02 | $3.80 | $6.61 |
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 Professional Modifier 59 · Distinct service Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | 59 · Distinct service | $3.55 | $3.55 | $3.55 |
Where Delaware sits
The same service costs 12.9 times more in Vermont than in Washington, DC. 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· 31st of 51
$4.79
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.