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 $7.24 Median $8.91 Typical High $22.91 | Facility | None | $7.24 | $8.91 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $7.94 Typical High $12.02 | Professional | None | $6.76 | $7.94 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $5.62 Median $5.62 Typical High $16.60 | Facility | None | $5.62 | $5.62 | $16.60 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $10.00 Typical High $51.29 | Professional | None | $5.37 | $10.00 | $51.29 |
Highmark BCBS Setting Facility Modifier None Typical Low $41.69 Median $57.54 Typical High $57.54 | Facility | None | $41.69 | $57.54 | $57.54 |
United Setting Professional Modifier None Typical Low $3.63 Median $5.25 Typical High $12.02 | Professional | None | $3.63 | $5.25 | $12.02 |
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 $6.46 Median $6.46 Typical High $6.46 | Professional | 59 · Distinct service | $6.46 | $6.46 | $6.46 |
Where Delaware sits
The same service costs 13.2 times more in Vermont than in Maryland. 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· 28th of 51
$8.91
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.