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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $204.17 | Professional | None | $177.83 | $177.83 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $616.60 | Facility | None | $288.40 | $288.40 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $288.40 | Professional | None | $208.93 | $208.93 | $288.40 |
United Setting Professional Modifier None Typical Low $194.98 Median $234.42 Typical High $323.59 | Professional | None | $194.98 | $234.42 | $323.59 |
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 $436.52 Median $436.52 Typical High $436.52 | Professional | KX · Policy requirements met | $436.52 | $436.52 | $436.52 |
Where Delaware sits
The same service costs 2.4 times more in Kansas 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
$209
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.