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 $63.10 Median $74.13 Typical High $87.10 | Professional | None | $63.10 | $74.13 | $87.10 |
CareSource Setting Professional Modifier None Typical Low $54.95 Median $91.20 Typical High $147.91 | Professional | None | $54.95 | $91.20 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $134.90 Typical High $251.19 | Facility | None | $66.07 | $134.90 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $131.83 Typical High $457.09 | Professional | None | $39.81 | $131.83 | $457.09 |
Highmark BCBS Setting Professional Modifier None Typical Low $123.03 Median $151.36 Typical High $154.88 | Professional | None | $123.03 | $151.36 | $154.88 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
United Setting Professional Modifier None Typical Low $46.77 Median $112.20 Typical High $190.55 | Professional | None | $46.77 | $112.20 | $190.55 |
3 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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | 53 · Discontinued | $13.18 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $36.31 Typical High $38.02 | Professional | 52 · Reduced service | $31.62 | $36.31 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $14.45 Typical High $15.14 | Professional | 53 · Discontinued | $12.59 | $14.45 | $15.14 |
Where West Virginia sits
The same service costs 4.5 times more in Alaska than in Alabama. 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· 20th of 51
$105
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.