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 $6.17 Median $6.17 Typical High $16.98 | Facility | None | $6.17 | $6.17 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $16.98 | Professional | None | $5.62 | $5.62 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $5.62 Median $8.32 Typical High $10.47 | Facility | None | $5.62 | $8.32 | $10.47 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $25.12 | Professional | None | $5.62 | $5.62 | $25.12 |
United Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $9.33 | Professional | None | $5.89 | $5.89 | $9.33 |
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 UD · State-defined Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | UD · State-defined | $9.33 | $9.33 | $9.33 |
Where West Virginia sits
The same service costs 3.2 times more in Oklahoma than in North Dakota. 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· 30th of 51
$5.89
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.