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 $6.17 Median $6.17 Typical High $6.17 | Facility | None | $6.17 | $6.17 | $6.17 |
Aetna Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $6.17 | Professional | None | $5.13 | $5.13 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $5.13 Median $7.59 Typical High $9.77 | Facility | None | $5.13 | $7.59 | $9.77 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $21.88 | Professional | None | $5.13 | $5.13 | $21.88 |
United Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Facility | None | $5.13 | $5.13 | $5.13 |
United Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $7.59 | Professional | None | $5.13 | $5.13 | $7.59 |
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 $7.94 Median $7.94 Typical High $7.94 | Facility | JZ · No drug discarded | $7.94 | $7.94 | $7.94 |
Where West Virginia sits
The same service costs 1.7 times more in Arizona than in New Mexico. 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· 41st of 51
$5.13
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.