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 $11.48 Median $33.11 Typical High $138.04 | Facility | None | $11.48 | $33.11 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $37.15 Typical High $74.13 | Professional | None | $12.59 | $37.15 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $3.39 Typical High $10.72 | Professional | 53 · Discontinued | $2.51 | $3.39 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $40.74 Typical High $67.61 | Professional | None | $12.59 | $40.74 | $67.61 |
Highmark BCBS Setting Facility Modifier None Typical Low $131.83 Median $524.81 Typical High $1,148.15 | Facility | None | $131.83 | $524.81 | $1,148.15 |
United Setting Professional Modifier None Typical Low $10.23 Median $36.31 Typical High $75.86 | Professional | None | $10.23 | $36.31 | $75.86 |
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 + GA · Liability notice issued + GC · Resident with teaching physician + XU · Unusual separate service Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 59 · Distinct service + GA · Liability notice issued + GC · Resident with teaching physician + XU · Unusual separate service | $10.72 | $10.72 | $10.72 |
Where Delaware sits
The same service costs 6.8 times more in Minnesota than in Georgia. 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· 28th of 51
$39.81
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.