How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $100.00 Median $117.49 Typical High $131.83 | Facility | None | $100.00 | $117.49 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $107.15 Typical High $120.23 | Professional | None | $89.13 | $107.15 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $57.54 Typical High $58.88 | Professional | 52 · Reduced service | $53.70 | $57.54 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $22.91 Typical High $23.44 | Professional | 53 · Discontinued | $21.38 | $22.91 | $23.44 |
CareSource Setting Professional Modifier None Typical Low $95.50 Median $114.82 Typical High $186.21 | Professional | None | $95.50 | $114.82 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $120.23 Typical High $194.98 | Professional | None | $93.33 | $120.23 | $194.98 |
Highmark BCBS Setting Facility Modifier None Typical Low $245.47 Median $851.14 Typical High $870.96 | Facility | None | $245.47 | $851.14 | $870.96 |
Highmark BCBS Setting Professional Modifier None Typical Low $128.82 Median $134.90 Typical High $199.53 | Professional | None | $128.82 | $134.90 | $199.53 |
United Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
United Setting Professional Modifier None Typical Low $83.18 Median $120.23 Typical High $269.15 | Professional | None | $83.18 | $120.23 | $269.15 |
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 59 · Distinct service Typical Low $128.82 Median $144.54 Typical High $144.54 | Professional | 59 · Distinct service | $128.82 | $144.54 | $144.54 |
Where West Virginia sits
The same service costs 2.3 times more in Alaska than in Kentucky. 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· 27th of 51
$117
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.