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 $39.81 Median $39.81 Typical High $104.71 | Facility | None | $39.81 | $39.81 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $39.81 Typical High $39.81 | Professional | None | $26.92 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $70.79 | Facility | None | $31.62 | $31.62 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $28.18 Typical High $70.79 | Professional | None | $21.38 | $28.18 | $70.79 |
United Setting Professional Modifier None Typical Low $20.42 Median $26.30 Typical High $72.44 | Professional | None | $20.42 | $26.30 | $72.44 |
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 Facility Modifier 59 · Distinct service Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | 59 · Distinct service | $426.58 | $426.58 | $426.58 |
Where Delaware sits
The same service costs 3.7 times more in Alaska than in Delaware. 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· 51st of 51
$29.51
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.