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 $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $63.10 Typical High $117.49 | Professional | None | $56.23 | $63.10 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $12.59 Typical High $13.18 | Professional | 53 · Discontinued | $11.22 | $12.59 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $63.10 Typical High $102.33 | Professional | None | $54.95 | $63.10 | $102.33 |
Highmark BCBS Setting Professional Modifier None Typical Low $588.84 Median $616.60 Typical High $630.96 | Professional | None | $588.84 | $616.60 | $630.96 |
United Setting Professional Modifier None Typical Low $50.12 Median $66.07 Typical High $123.03 | Professional | None | $50.12 | $66.07 | $123.03 |
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 Facility Modifier 59 · Distinct service Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | 59 · Distinct service | $177.83 | $177.83 | $177.83 |
Where Delaware sits
The same service costs 3.1 times more in Alaska than in New York. 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· 34th of 51
$63.10
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.