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 $10.47 Median $13.49 Typical High $43.65 | Facility | None | $10.47 | $13.49 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $34.67 Typical High $44.67 | Professional | None | $12.88 | $34.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $35.48 Typical High $58.88 | Professional | None | $11.22 | $35.48 | $58.88 |
Highmark BCBS Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $707.95 | Facility | None | $21.38 | $21.38 | $707.95 |
United Setting Professional Modifier None Typical Low $10.00 Median $30.90 Typical High $56.23 | Professional | None | $10.00 | $30.90 | $56.23 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.17 Median $7.59 Typical High $22.39 | Professional | 52 · Reduced service | $6.17 | $7.59 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $3.02 Typical High $8.91 | Professional | 53 · Discontinued | $2.45 | $3.02 | $8.91 |
Where Delaware sits
The same service costs 2.5 times more in Kansas than in Maryland. 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· 39th of 51
$33.11
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.