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 $10.00 Median $15.14 Typical High $56.23 | Facility | None | $10.00 | $15.14 | $56.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $10.00 Median $10.00 Typical High $15.49 | Professional | None (both parts) | $10.00 | $10.00 | $15.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $9.33 Median $9.33 Typical High $37.15 | Professional | None (both parts) | $9.33 | $9.33 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $26.92 Typical High $66.07 | Facility | None | $12.02 | $26.92 | $66.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $20.89 Median $26.30 Typical High $89.13 | Professional | None (both parts) | $20.89 | $26.30 | $89.13 |
Emblem Health Setting Facility Modifier None Typical Low $18.20 Median $30.20 Typical High $66.07 | Facility | None | $18.20 | $30.20 | $66.07 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $8.71 Median $10.96 Typical High $52.48 | Professional | None (both parts) | $8.71 | $10.96 | $52.48 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $11.22 Median $17.38 Typical High $20.42 | Professional | None (both parts) | $11.22 | $17.38 | $20.42 |
MVP Health Care Setting Facility Modifier None Typical Low $18.20 Median $33.11 Typical High $95.50 | Facility | None | $18.20 | $33.11 | $95.50 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $12.02 Median $12.02 Typical High $38.02 | Professional | None (both parts) | $12.02 | $12.02 | $38.02 |
United Setting Facility Modifier None Typical Low $16.60 Median $18.20 Typical High $22.91 | Facility | None | $16.60 | $18.20 | $22.91 |
United Setting Professional Modifier None (both parts) Typical Low $7.76 Median $10.00 Typical High $27.54 | Professional | None (both parts) | $7.76 | $10.00 | $27.54 |
Univera Setting Facility Modifier None Typical Low $12.02 Median $18.20 Typical High $21.38 | Facility | None | $12.02 | $18.20 | $21.38 |
Univera Setting Professional Modifier None (both parts) Typical Low $11.22 Median $17.38 Typical High $20.42 | Professional | None (both parts) | $11.22 | $17.38 | $20.42 |
4 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $15.49 Typical High $15.49 | Professional | 26 · Professional part | $14.45 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.01 Median $5.01 Typical High $7.76 | Professional | 52 · Reduced service | $5.01 | $5.01 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.00 Typical High $3.16 | Professional | 53 · Discontinued | $2.00 | $2.00 | $3.16 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $4.27 Median $19.95 Typical High $28.18 | Facility | TC · Technical part | $4.27 | $19.95 | $28.18 |
Where New York sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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.
New York· 45th of 51
$12.02
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.