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 $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
Aetna Setting Professional Modifier None Typical Low $6.92 Median $7.59 Typical High $7.59 | Professional | None | $6.92 | $7.59 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $11.22 Typical High $14.13 | Facility | None | $7.59 | $11.22 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $29.51 | Professional | None | $7.59 | $7.59 | $29.51 |
United Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
United Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $10.23 | Professional | None | $6.92 | $6.92 | $10.23 |
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 JZ · No drug discarded Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | JZ · No drug discarded | $23.44 | $23.44 | $23.44 |
Where West Virginia sits
The same service costs 1.9 times more in Alaska than in Rhode Island. 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
$7.59
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.