How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $22.91 Median $22.91 Typical High $60.26 | Facility | None | $22.91 | $22.91 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $60.26 Typical High $60.26 | Professional | None | $22.91 | $60.26 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $67.61 Typical High $75.86 | Professional | None | $57.54 | $67.61 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Emblem Health Setting Facility Modifier None Typical Low $21.88 Median $37.15 Typical High $85.11 | Facility | None | $21.88 | $37.15 | $85.11 |
Emblem Health Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $38.02 | Professional | None | $15.49 | $15.49 | $38.02 |
Excellus BCBS Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
MVP Health Care Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
United Setting Facility Modifier None Typical Low $75.86 Median $87.10 Typical High $107.15 | Facility | None | $75.86 | $87.10 | $107.15 |
United Setting Professional Modifier None Typical Low $12.30 Median $14.79 Typical High $21.38 | Professional | None | $12.30 | $14.79 | $21.38 |
Univera Setting Facility Modifier None Typical Low $17.38 Median $20.42 Typical High $20.42 | Facility | None | $17.38 | $20.42 | $20.42 |
Univera Setting Professional Modifier None Typical Low $12.30 Median $20.42 Typical High $20.42 | Professional | None | $12.30 | $20.42 | $20.42 |
2 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 52 · Reduced service Typical Low $11.48 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $11.48 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $4.57 | $12.02 | $12.02 |
Where New York sits
The same service costs 4.4 times more in Wyoming than in Louisiana. 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· 2nd of 51
$60.26
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.