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 $13.18 Median $35.48 Typical High $38.90 | Facility | None | $13.18 | $35.48 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $33.88 Typical High $40.74 | Professional | None | $12.02 | $33.88 | $40.74 |
CareSource Setting Professional Modifier None Typical Low $31.62 Median $36.31 Typical High $52.48 | Professional | None | $31.62 | $36.31 | $52.48 |
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 $14.13 Median $34.67 Typical High $100.00 | Professional | None | $14.13 | $34.67 | $100.00 |
Highmark BCBS Setting Facility Modifier None Typical Low $66.07 Median $234.42 Typical High $1,000.00 | Facility | None | $66.07 | $234.42 | $1,000.00 |
Highmark BCBS Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
United Setting Professional Modifier None Typical Low $10.96 Median $29.51 Typical High $69.18 | Professional | None | $10.96 | $29.51 | $69.18 |
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 $6.03 Median $6.76 Typical High $17.78 | Professional | 52 · Reduced service | $6.03 | $6.76 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.69 Typical High $7.08 | Professional | 53 · Discontinued | $2.40 | $2.69 | $7.08 |
Where West Virginia 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.
West Virginia· 35th of 51
$33.88
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.