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 $186.21 Median $229.09 Typical High $229.09 | Facility | None | $186.21 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $208.93 Typical High $229.09 | Professional | None | $186.21 | $208.93 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $309.03 Typical High $389.05 | Facility | None | $208.93 | $309.03 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $794.33 | Professional | None | $208.93 | $208.93 | $794.33 |
United Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
United Setting Professional Modifier None Typical Low $186.21 Median $208.93 Typical High $281.84 | Professional | None | $186.21 | $208.93 | $281.84 |
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 $204.17 Median $691.83 Typical High $1,000.00 | Facility | JZ · No drug discarded | $204.17 | $691.83 | $1,000.00 |
Where West Virginia sits
The same service costs 1.6 times more in Arizona 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· 34th of 51
$209
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.