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 $1.82 Median $2.04 Typical High $2.29 | Facility | None | $1.82 | $2.04 | $2.29 |
Aetna Setting Professional Modifier None Typical Low $1.74 Median $2.04 Typical High $2.29 | Professional | None | $1.74 | $2.04 | $2.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.05 Median $1.05 Typical High $1.12 | Professional | 52 · Reduced service | $1.05 | $1.05 | $1.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.41 Median $0.41 Typical High $0.45 | Professional | 53 · Discontinued | $0.41 | $0.41 | $0.45 |
Cigna Setting Facility Modifier None Typical Low $3.63 Median $3.63 Typical High $3.63 | Facility | None | $3.63 | $3.63 | $3.63 |
Cigna Setting Professional Modifier None Typical Low $2.00 Median $5.01 Typical High $5.01 | Professional | None | $2.00 | $5.01 | $5.01 |
United Setting Professional Modifier None Typical Low $1.78 Median $2.34 Typical High $2.69 | Professional | None | $1.78 | $2.34 | $2.69 |
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 $2.00 Median $2.00 Typical High $2.00 | Professional | HO · Master's level | $2.00 | $2.00 | $2.00 |
Where Delaware sits
The same service costs 2.2 times more in North Dakota 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.
Delaware· 39th of 51
$2.04
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.