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 $20.42 Median $20.42 Typical High $41.69 | Facility | None | $20.42 | $20.42 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $41.69 Typical High $41.69 | Professional | None | $20.42 | $41.69 | $41.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.41 Median $8.71 Typical High $10.00 | Professional | None | $7.41 | $8.71 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Emblem Health Setting Facility Modifier None Typical Low $30.20 Median $51.29 Typical High $114.82 | Facility | None | $30.20 | $51.29 | $114.82 |
Emblem Health Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $48.98 | Professional | None | $21.38 | $21.38 | $48.98 |
Excellus BCBS Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $38.02 | Professional | None | $26.30 | $26.30 | $38.02 |
United Setting Facility Modifier None Typical Low $57.54 Median $67.61 Typical High $83.18 | Facility | None | $57.54 | $67.61 | $83.18 |
United Setting Professional Modifier None Typical Low $20.42 Median $28.18 Typical High $47.86 | Professional | None | $20.42 | $28.18 | $47.86 |
Univera Setting Facility Modifier None Typical Low $22.39 Median $26.30 Typical High $26.30 | Facility | None | $22.39 | $26.30 | $26.30 |
Univera Setting Professional Modifier None Typical Low $15.85 Median $26.30 Typical High $37.15 | Professional | None | $15.85 | $26.30 | $37.15 |
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 $10.23 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $10.23 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $4.07 | $8.32 | $8.32 |
Where New York sits
The same service costs 44.7 times more in Nebraska than in Indiana. 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
$9.12
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.