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 $0.62 Median $0.78 Typical High $0.81 | Facility | None | $0.62 | $0.78 | $0.81 |
Aetna Setting Professional Modifier None Typical Low $0.40 Median $0.41 Typical High $0.78 | Professional | None | $0.40 | $0.41 | $0.78 |
CareSource Setting Professional Modifier None Typical Low $0.56 Median $0.56 Typical High $0.74 | Professional | None | $0.56 | $0.56 | $0.74 |
Cigna Setting Facility Modifier None Typical Low $0.40 Median $0.60 Typical High $0.76 | Facility | None | $0.40 | $0.60 | $0.76 |
Cigna Setting Professional Modifier None Typical Low $0.40 Median $0.40 Typical High $0.40 | Professional | None | $0.40 | $0.40 | $0.40 |
United Setting Professional Modifier None Typical Low $0.41 Median $0.45 Typical High $0.81 | Professional | None | $0.41 | $0.45 | $0.81 |
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 $0.42 Median $0.42 Typical High $0.42 | Facility | UD · State-defined | $0.42 | $0.42 | $0.42 |
Where West Virginia sits
The same service costs 1.9 times more in Wyoming than in Ohio. 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· 14th of 51
$0.41
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.