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 $33.88 Median $33.88 Typical High $89.13 | Facility | None | $33.88 | $33.88 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $33.88 Typical High $39.81 | Professional | None | $26.92 | $33.88 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $147.91 | Facility | None | $26.30 | $26.30 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $26.30 Typical High $69.18 | Professional | None | $20.89 | $26.30 | $69.18 |
Highmark BCBS Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
United Setting Professional Modifier None Typical Low $16.98 Median $24.55 Typical High $60.26 | Professional | None | $16.98 | $24.55 | $60.26 |
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 $24.55 Median $24.55 Typical High $24.55 | Professional | 59 · Distinct service | $24.55 | $24.55 | $24.55 |
Where Delaware sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 50th of 51
$26.92
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.