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 $181.97 Median $181.97 Typical High $467.74 | Facility | None | $181.97 | $181.97 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $467.74 | Professional | None | $169.82 | $199.53 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $954.99 | Professional | None | $199.53 | $199.53 | $954.99 |
Highmark BCBS Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $354.81 | Facility | None | $338.84 | $338.84 | $354.81 |
United Setting Professional Modifier None Typical Low $194.98 Median $213.80 Typical High $245.47 | Professional | None | $194.98 | $213.80 | $245.47 |
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 GC · Resident with teaching physician Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | GC · Resident with teaching physician | $141.25 | $141.25 | $141.25 |
Where Delaware sits
The same service costs 562.3 times more in Montana 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· 11th of 51
$200
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.