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 $13.80 Median $51.29 Typical High $933.25 | Facility | None | $13.80 | $51.29 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $27.54 Typical High $51.29 | Professional | None | $12.59 | $27.54 | $51.29 |
CareSource Setting Professional Modifier None Typical Low $37.15 Median $43.65 Typical High $52.48 | Professional | None | $37.15 | $43.65 | $52.48 |
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 $12.30 Median $45.71 Typical High $97.72 | Professional | None | $12.30 | $45.71 | $97.72 |
Highmark BCBS Setting Facility Modifier None Typical Low $69.18 Median $186.21 Typical High $478.63 | Facility | None | $69.18 | $186.21 | $478.63 |
Highmark BCBS Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.49 | Professional | None | $15.14 | $15.14 | $15.49 |
United Setting Professional Modifier None Typical Low $10.00 Median $30.20 Typical High $83.18 | Professional | None | $10.00 | $30.20 | $83.18 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $9.33 | Professional | 53 · Discontinued | $2.51 | $2.51 | $9.33 |
Where West Virginia 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.
West Virginia· 29th of 51
$36.31
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.