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 $28.18 Median $28.18 Typical High $74.13 | Facility | None | $28.18 | $28.18 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $74.13 | Professional | None | $28.18 | $28.18 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $158.49 | Professional | None | $28.18 | $28.18 | $158.49 |
United Setting Professional Modifier None Typical Low $33.11 Median $36.31 Typical High $83.18 | Professional | None | $33.11 | $36.31 | $83.18 |
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 $257.04 Median $257.04 Typical High $257.04 | Facility | JZ · No drug discarded | $257.04 | $257.04 | $257.04 |
Where Delaware sits
The same service costs 6.3 times more in Oklahoma than in Wyoming. 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.
Delaware· 24th of 51
$33.11
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.