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 $87.10 Median $97.72 Typical High $114.82 | Professional | None | $87.10 | $97.72 | $114.82 |
CareSource Setting Professional Modifier None Typical Low $83.18 Median $102.33 Typical High $165.96 | Professional | None | $83.18 | $102.33 | $165.96 |
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 $63.10 Median $70.79 Typical High $186.21 | Professional | None | $63.10 | $70.79 | $186.21 |
Highmark BCBS Setting Facility Modifier None Typical Low $295.12 Median $407.38 Typical High $416.87 | Facility | None | $295.12 | $407.38 | $416.87 |
Highmark BCBS Setting Professional Modifier None Typical Low $112.20 Median $125.89 Typical High $125.89 | Professional | None | $112.20 | $125.89 | $125.89 |
United Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
United Setting Professional Modifier None Typical Low $87.10 Median $91.20 Typical High $158.49 | Professional | None | $87.10 | $91.20 | $158.49 |
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 TD · Registered nurse Typical Low $97.72 Median $97.72 Typical High $109.65 | Facility | TD · Registered nurse | $97.72 | $97.72 | $109.65 |
Where West Virginia 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.
West Virginia· 23rd of 51
$97.72
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.