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 $22.91 Median $22.91 Typical High $63.10 | Facility | None | $22.91 | $22.91 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $20.89 Typical High $23.99 | Professional | None | $20.42 | $20.89 | $23.99 |
CareSource Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
CareSource Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $30.20 | Professional | None | $25.70 | $25.70 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $60.26 Typical High $75.86 | Facility | None | $24.55 | $60.26 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $44.67 Typical High $158.49 | Professional | None | $11.75 | $44.67 | $158.49 |
Highmark BCBS Setting Facility Modifier None Typical Low $64.57 Median $107.15 Typical High $162.18 | Facility | None | $64.57 | $107.15 | $162.18 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
United Setting Professional Modifier None Typical Low $11.48 Median $15.49 Typical High $64.57 | Professional | None | $11.48 | $15.49 | $64.57 |
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 $19.05 Median $19.05 Typical High $19.05 | Professional | 59 · Distinct service | $19.05 | $19.05 | $19.05 |
Where West Virginia sits
The same service costs 4.3 times more in South Carolina 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.
West Virginia· 33rd of 51
$22.91
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.