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 $0.66 Median $0.66 Typical High $1.74 | Facility | None | $0.66 | $0.66 | $1.74 |
Aetna Setting Professional Modifier None Typical Low $0.60 Median $0.60 Typical High $1.74 | Professional | None | $0.60 | $0.60 | $1.74 |
Cigna Setting Facility Modifier None Typical Low $0.60 Median $0.87 Typical High $1.12 | Facility | None | $0.60 | $0.87 | $1.12 |
Cigna Setting Professional Modifier None Typical Low $0.60 Median $0.60 Typical High $6.03 | Professional | None | $0.60 | $0.60 | $6.03 |
United Setting Professional Modifier None Typical Low $0.62 Median $0.69 Typical High $1.00 | Professional | None | $0.62 | $0.69 | $1.00 |
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 JA · Given by IV Typical Low $2.57 Median $2.57 Typical High $2.57 | Facility | JA · Given by IV | $2.57 | $2.57 | $2.57 |
Where West Virginia sits
The same service costs 3.4 times more in Wyoming than in Delaware. 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· 26th of 51
$0.66
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.