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 Professional Modifier None Typical Low $24.55 Median $28.84 Typical High $28.84 | Professional | None | $24.55 | $28.84 | $28.84 |
CareSource Setting Professional Modifier None Typical Low $30.90 Median $37.15 Typical High $51.29 | Professional | None | $30.90 | $37.15 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $52.48 Typical High $97.72 | Facility | None | $27.54 | $52.48 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $46.77 Typical High $158.49 | Professional | None | $15.14 | $46.77 | $158.49 |
Highmark BCBS Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Highmark BCBS Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
United Setting Professional Modifier None Typical Low $17.78 Median $32.36 Typical High $63.10 | Professional | None | $17.78 | $32.36 | $63.10 |
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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $5.25 | Facility | 53 · Discontinued | $5.25 | $5.25 | $5.25 |
Where West Virginia sits
The same service costs 6.0 times more in Alaska than in Nevada. 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· 23rd of 51
$37.15
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.