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 $14.79 Median $16.22 Typical High $16.22 | Facility | None | $14.79 | $16.22 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.79 Typical High $16.98 | Professional | None | $14.45 | $14.79 | $16.98 |
CareSource Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
CareSource Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $21.38 | Professional | None | $17.78 | $17.78 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $42.66 Typical High $53.70 | Facility | None | $17.38 | $42.66 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $28.84 Typical High $87.10 | Professional | None | $8.13 | $28.84 | $87.10 |
Highmark BCBS Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $13.49 | Facility | None | $10.96 | $10.96 | $13.49 |
United Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | None | $10.72 | $10.72 | $10.72 |
United Setting Professional Modifier None Typical Low $8.13 Median $9.33 Typical High $40.74 | Professional | None | $8.13 | $9.33 | $40.74 |
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 $13.49 Median $13.49 Typical High $13.49 | Professional | 59 · Distinct service | $13.49 | $13.49 | $13.49 |
Where West Virginia sits
The same service costs 3.3 times more in Alaska than in Georgia. 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.
West Virginia· 38th of 51
$14.79
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.