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 $87.10 Median $97.72 Typical High $120.23 | Facility | None | $87.10 | $97.72 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $102.33 Typical High $120.23 | Professional | None | $85.11 | $102.33 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $72.44 Typical High $117.49 | Professional | None | $60.26 | $72.44 | $117.49 |
Highmark BCBS Setting Professional Modifier None Typical Low $70.79 Median $117.49 Typical High $229.09 | Professional | None | $70.79 | $117.49 | $229.09 |
United Setting Professional Modifier None Typical Low $87.10 Median $91.20 Typical High $123.03 | Professional | None | $87.10 | $91.20 | $123.03 |
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 HO · Master's level Typical Low $89.13 Median $91.20 Typical High $91.20 | Professional | HO · Master's level | $89.13 | $91.20 | $91.20 |
Where Delaware sits
The same service costs 1.7 times more in Alaska than in Ohio. 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· 36th of 51
$91.20
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.