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 $4.79 Median $6.92 Typical High $20.42 | Facility | None | $4.79 | $6.92 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $6.92 Typical High $12.02 | Professional | None | $4.79 | $6.92 | $12.02 |
Ambetter Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | None | $3.72 | $3.72 | $3.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $21.38 | Facility | None | $8.13 | $8.13 | $21.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.07 Median $6.76 Typical High $19.05 | Professional | None | $4.07 | $6.76 | $19.05 |
CDPHP Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $17.78 Typical High $69.18 | Facility | None | $7.94 | $17.78 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $9.77 Typical High $41.69 | Professional | None | $5.37 | $9.77 | $41.69 |
Emblem Health Setting Facility Modifier None Typical Low $5.01 Median $8.13 Typical High $18.20 | Facility | None | $5.01 | $8.13 | $18.20 |
Emblem Health Setting Professional Modifier None Typical Low $3.80 Median $5.75 Typical High $15.85 | Professional | None | $3.80 | $5.75 | $15.85 |
Excellus BCBS Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Facility | None | $7.24 | $7.24 | $7.24 |
Excellus BCBS Setting Professional Modifier None Typical Low $5.37 Median $8.13 Typical High $9.33 | Professional | None | $5.37 | $8.13 | $9.33 |
Highmark BCBS Setting Facility Modifier None Typical Low $6.03 Median $16.98 Typical High $47.86 | Facility | None | $6.03 | $16.98 | $47.86 |
Highmark BCBS Setting Professional Modifier None Typical Low $4.90 Median $5.50 Typical High $6.17 | Professional | None | $4.90 | $5.50 | $6.17 |
MVP Health Care Setting Facility Modifier None Typical Low $9.33 Median $15.49 Typical High $257.04 | Facility | None | $9.33 | $15.49 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $16.98 | Professional | None | $6.61 | $6.61 | $16.98 |
United Setting Facility Modifier None Typical Low $2.75 Median $8.13 Typical High $10.23 | Facility | None | $2.75 | $8.13 | $10.23 |
United Setting Professional Modifier None Typical Low $3.47 Median $4.90 Typical High $12.30 | Professional | None | $3.47 | $4.90 | $12.30 |
Univera Setting Facility Modifier None Typical Low $5.37 Median $7.24 Typical High $20.42 | Facility | None | $5.37 | $7.24 | $20.42 |
Univera Setting Professional Modifier None Typical Low $5.37 Median $8.13 Typical High $9.55 | Professional | None | $5.37 | $8.13 | $9.55 |
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 $2.34 Median $2.34 Typical High $3.47 | Professional | 52 · Reduced service | $2.34 | $2.34 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.95 Median $0.95 Typical High $1.38 | Professional | 53 · Discontinued | $0.95 | $0.95 | $1.38 |
Where New York sits
The same service costs 17.0 times more in Vermont 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· 42nd of 51
$7.24
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.