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 Professional Modifier None Typical Low $0.19 Median $0.19 Typical High $0.23 | Professional | None | $0.19 | $0.19 | $0.23 |
CareSource Setting Facility Modifier None Typical Low $0.17 Median $0.18 Typical High $0.21 | Facility | None | $0.17 | $0.18 | $0.21 |
CareSource Setting Professional Modifier None Typical Low $0.21 Median $0.28 Typical High $0.45 | Professional | None | $0.21 | $0.28 | $0.45 |
Cigna Setting Facility Modifier None Typical Low $0.20 Median $0.20 Typical High $85.11 | Facility | None | $0.20 | $0.20 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $0.17 Median $0.17 Typical High $0.89 | Professional | None | $0.17 | $0.17 | $0.89 |
United Setting Professional Modifier None Typical Low $0.15 Median $0.20 Typical High $0.36 | Professional | None | $0.15 | $0.20 | $0.36 |
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 AU · Urologic/ostomy supply Typical Low $0.21 Median $0.21 Typical High $0.21 | Professional | AU · Urologic/ostomy supply | $0.21 | $0.21 | $0.21 |
Where West Virginia sits
The same service costs 2.7 times more in Arkansas than in Utah. 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· 37th of 51
$0.19
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.