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 $21.88 Median $21.88 Typical High $70.79 | Facility | None | $21.88 | $21.88 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $21.88 Typical High $30.90 | Professional | None | $17.78 | $21.88 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $61.66 | Facility | None | $17.38 | $17.38 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $18.62 Typical High $95.50 | Professional | None | $16.22 | $18.62 | $95.50 |
Highmark BCBS Setting Facility Modifier None Typical Low $70.79 Median $128.82 Typical High $177.83 | Facility | None | $70.79 | $128.82 | $177.83 |
United Setting Professional Modifier None Typical Low $15.85 Median $25.12 Typical High $57.54 | Professional | None | $15.85 | $25.12 | $57.54 |
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 90 · Outside lab Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 90 · Outside lab | $19.95 | $19.95 | $19.95 |
Where Delaware sits
The same service costs 4.5 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· 48th of 51
$22.39
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.