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 $245.47 Median $245.47 Typical High $251.19 | Facility | None | $245.47 | $245.47 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $1,023.29 | Professional | None | $398.11 | $398.11 | $1,023.29 |
United Setting Professional Modifier None Typical Low $275.42 Median $426.58 Typical High $489.78 | Professional | None | $275.42 | $426.58 | $489.78 |
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 ER · Off-campus emergency dept + JW · Drug discarded + JZ · No drug discarded Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | ER · Off-campus emergency dept + JW · Drug discarded + JZ · No drug discarded | $223.87 | $223.87 | $223.87 |
Highmark BCBS Setting Professional Modifier TB · 340B drug Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | TB · 340B drug | $269.15 | $269.15 | $269.15 |
Where Delaware sits
The same service costs 8.7 times more in Alabama than in Rhode Island. 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· 7th of 51
$398
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.