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 $9.33 Median $14.13 Typical High $52.48 | Facility | None | $9.33 | $14.13 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $9.33 Median $9.33 Typical High $14.79 | Professional | None (both parts) | $9.33 | $9.33 | $14.79 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $11.22 Median $11.22 Typical High $36.31 | Professional | None (both parts) | $11.22 | $11.22 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $25.12 Typical High $61.66 | Facility | None | $11.22 | $25.12 | $61.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.95 Median $24.55 Typical High $83.18 | Professional | None (both parts) | $19.95 | $24.55 | $83.18 |
Emblem Health Setting Facility Modifier None Typical Low $17.38 Median $28.18 Typical High $63.10 | Facility | None | $17.38 | $28.18 | $63.10 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $8.13 Median $10.47 Typical High $48.98 | Professional | None (both parts) | $8.13 | $10.47 | $48.98 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $10.47 Median $16.60 Typical High $19.05 | Professional | None (both parts) | $10.47 | $16.60 | $19.05 |
MVP Health Care Setting Facility Modifier None Typical Low $17.38 Median $30.90 Typical High $91.20 | Facility | None | $17.38 | $30.90 | $91.20 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $11.22 Median $11.22 Typical High $35.48 | Professional | None (both parts) | $11.22 | $11.22 | $35.48 |
United Setting Facility Modifier None Typical Low $15.49 Median $17.38 Typical High $21.38 | Facility | None | $15.49 | $17.38 | $21.38 |
United Setting Professional Modifier None (both parts) Typical Low $7.24 Median $10.23 Typical High $25.70 | Professional | None (both parts) | $7.24 | $10.23 | $25.70 |
Univera Setting Facility Modifier None Typical Low $11.22 Median $17.38 Typical High $19.95 | Facility | None | $11.22 | $17.38 | $19.95 |
Univera Setting Professional Modifier None (both parts) Typical Low $10.47 Median $16.60 Typical High $19.05 | Professional | None (both parts) | $10.47 | $16.60 | $19.05 |
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 $13.49 Median $14.79 Typical High $14.79 | Professional | 26 · Professional part | $13.49 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.68 Median $4.68 Typical High $7.41 | Professional | 52 · Reduced service | $4.68 | $4.68 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $1.86 Typical High $2.95 | Professional | 53 · Discontinued | $1.86 | $1.86 | $2.95 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $4.07 Median $18.62 Typical High $26.92 | Facility | TC · Technical part | $4.07 | $18.62 | $26.92 |
Where New York sits
The same service costs 3.3 times more in Alaska than in New Mexico. 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· 48th of 51
$11.22
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.