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 $10.72 Median $10.72 Typical High $10.72 | Facility | None | $10.72 | $10.72 | $10.72 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $9.77 Typical High $11.22 | Professional | None | $9.55 | $9.77 | $11.22 |
CareSource Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
CareSource Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $14.45 | Professional | None | $12.02 | $12.02 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $25.70 Typical High $36.31 | Facility | None | $11.75 | $25.70 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $21.38 Typical High $81.28 | Professional | None | $5.50 | $21.38 | $81.28 |
Highmark BCBS Setting Facility Modifier None Typical Low $53.70 Median $72.44 Typical High $125.89 | Facility | None | $53.70 | $72.44 | $125.89 |
United Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Facility | None | $7.24 | $7.24 | $7.24 |
United Setting Professional Modifier None Typical Low $5.37 Median $7.24 Typical High $32.36 | Professional | None | $5.37 | $7.24 | $32.36 |
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 $7.24 Median $7.24 Typical High $7.24 | Professional | 59 · Distinct service | $7.24 | $7.24 | $7.24 |
Where West Virginia sits
The same service costs 3.9 times more in Kansas than in New Jersey. 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· 36th of 51
$10.72
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.