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 $8,511.38 Median $8,511.38 Typical High $8,511.38 | Facility | None | $8,511.38 | $8,511.38 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $9,549.93 | Professional | None | $8,511.38 | $8,511.38 | $9,549.93 |
Cigna Setting Facility Modifier None Typical Low $12,882.50 Median $12,882.50 Typical High $28,840.32 | Facility | None | $12,882.50 | $12,882.50 | $28,840.32 |
Cigna Setting Professional Modifier None Typical Low $9,332.54 Median $9,332.54 Typical High $12,882.50 | Professional | None | $9,332.54 | $9,332.54 | $12,882.50 |
United Setting Professional Modifier None Typical Low $9,332.54 Median $11,748.98 Typical High $15,488.17 | Professional | None | $9,332.54 | $11,748.98 | $15,488.17 |
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 Professional Modifier KX · Policy requirements met Typical Low $20,417.38 Median $20,417.38 Typical High $20,417.38 | Professional | KX · Policy requirements met | $20,417.38 | $20,417.38 | $20,417.38 |
Where Delaware sits
The same service costs 2.3 times more in Montana 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.
Delaware· 51st of 51
$9,333
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.