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 $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $33.11 Typical High $39.81 | Professional | None | $30.20 | $33.11 | $39.81 |
CareSource Setting Professional Modifier None Typical Low $40.74 Median $48.98 Typical High $67.61 | Professional | None | $40.74 | $48.98 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $100.00 Typical High $123.03 | Facility | None | $33.88 | $100.00 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $67.61 Typical High $194.98 | Professional | None | $19.05 | $67.61 | $194.98 |
United Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
United Setting Professional Modifier None Typical Low $18.20 Median $23.99 Typical High $89.13 | Professional | None | $18.20 | $23.99 | $89.13 |
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 $64.57 Median $181.97 Typical High $204.17 | Facility | 59 · Distinct service | $64.57 | $181.97 | $204.17 |
Where West Virginia 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.
West Virginia· 33rd of 51
$36.31
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.