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 $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $50.12 Typical High $75.86 | Professional | None | $48.98 | $50.12 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $74.13 Typical High $93.33 | Facility | None | $48.98 | $74.13 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $208.93 | Professional | None | $48.98 | $48.98 | $208.93 |
United Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
United Setting Professional Modifier None Typical Low $48.98 Median $54.95 Typical High $79.43 | Professional | None | $48.98 | $54.95 | $79.43 |
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 $46.77 Median $186.21 Typical High $346.74 | Facility | JZ · No drug discarded | $46.77 | $186.21 | $346.74 |
Where West Virginia sits
The same service costs 1.9 times more in Wyoming than in Kentucky. 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· 39th of 51
$48.98
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.