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 $28.84 Typical High $75.86 | Facility | None | $28.84 | $28.84 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $28.84 Typical High $48.98 | Professional | None | $23.44 | $28.84 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $51.29 | Facility | None | $22.91 | $22.91 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $67.61 | Professional | None | $21.38 | $25.12 | $67.61 |
United Setting Professional Modifier None Typical Low $14.79 Median $20.89 Typical High $52.48 | Professional | None | $14.79 | $20.89 | $52.48 |
2 more rates 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 XU · Unusual separate service Typical Low $93.33 Median $131.83 Typical High $169.82 | Facility | XU · Unusual separate service | $93.33 | $131.83 | $169.82 |
Highmark BCBS Setting Professional Modifier 59 · Distinct service + XS · Separate structure + XU · Unusual separate service Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 59 · Distinct service + XS · Separate structure + XU · Unusual separate service | $20.89 | $20.89 | $20.89 |
Where Delaware 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.
Delaware· 45th of 51
$28.18
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.