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 $28.84 Median $31.62 Typical High $81.28 | Facility | None | $28.84 | $31.62 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $28.84 Typical High $33.11 | Professional | None | $25.70 | $28.84 | $33.11 |
CareSource Setting Professional Modifier None Typical Low $35.48 Median $41.69 Typical High $57.54 | Professional | None | $35.48 | $41.69 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $69.18 Typical High $104.71 | Facility | None | $29.51 | $69.18 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $67.61 Typical High $234.42 | Professional | None | $19.95 | $67.61 | $234.42 |
Highmark BCBS Setting Facility Modifier None Typical Low $97.72 Median $154.88 Typical High $354.81 | Facility | None | $97.72 | $154.88 | $354.81 |
United Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
United Setting Professional Modifier None Typical Low $15.85 Median $24.55 Typical High $95.50 | Professional | None | $15.85 | $24.55 | $95.50 |
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 + 90 · Outside lab Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 59 · Distinct service + 90 · Outside lab | $26.30 | $26.30 | $26.30 |
Where West Virginia sits
The same service costs 3.0 times more in Alaska 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.
West Virginia· 11th of 51
$48.98
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.