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 $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $12.88 Typical High $12.88 | Professional | None | $12.59 | $12.88 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $19.05 Typical High $24.55 | Facility | None | $12.88 | $19.05 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $53.70 | Professional | None | $12.88 | $12.88 | $53.70 |
United Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $18.62 | Professional | None | $12.59 | $12.59 | $18.62 |
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 $12.88 Median $30.90 Typical High $53.70 | Facility | JZ · No drug discarded | $12.88 | $30.90 | $53.70 |
Where West Virginia sits
The same service costs 1.5 times more in Alaska than in Maryland. 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· 23rd of 51
$12.88
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.