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 $10.23 Median $15.85 Typical High $46.77 | Facility | None | $10.23 | $15.85 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $15.85 | Professional | None | $10.23 | $10.23 | $15.85 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $48.98 | Facility | None | $18.62 | $18.62 | $48.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.41 Median $14.79 Typical High $42.66 | Professional | None | $7.41 | $14.79 | $42.66 |
CDPHP Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $39.81 Typical High $47.86 | Facility | None | $16.98 | $39.81 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $22.91 Typical High $89.13 | Professional | None | $10.47 | $22.91 | $89.13 |
Emblem Health Setting Facility Modifier None Typical Low $15.85 Median $23.44 Typical High $41.69 | Facility | None | $15.85 | $23.44 | $41.69 |
Emblem Health Setting Professional Modifier None Typical Low $8.71 Median $11.22 Typical High $52.48 | Professional | None | $8.71 | $11.22 | $52.48 |
Excellus BCBS Setting Professional Modifier None Typical Low $11.22 Median $17.78 Typical High $20.42 | Professional | None | $11.22 | $17.78 | $20.42 |
Highmark BCBS Setting Facility Modifier None Typical Low $35.48 Median $45.71 Typical High $52.48 | Facility | None | $35.48 | $45.71 | $52.48 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $33.88 Typical High $257.04 | Facility | None | $13.80 | $33.88 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $38.02 | Professional | None | $12.02 | $12.02 | $38.02 |
United Setting Facility Modifier None Typical Low $16.60 Median $18.62 Typical High $23.44 | Facility | None | $16.60 | $18.62 | $23.44 |
United Setting Professional Modifier None Typical Low $7.76 Median $10.47 Typical High $28.18 | Professional | None | $7.76 | $10.47 | $28.18 |
Univera Setting Facility Modifier None Typical Low $12.30 Median $21.38 Typical High $27.54 | Facility | None | $12.30 | $21.38 | $27.54 |
Univera Setting Professional Modifier None Typical Low $11.22 Median $17.78 Typical High $20.89 | Professional | None | $11.22 | $17.78 | $20.89 |
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 $5.13 Median $5.13 Typical High $7.94 | Professional | 52 · Reduced service | $5.13 | $5.13 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.04 Typical High $3.16 | Professional | 53 · Discontinued | $2.04 | $2.04 | $3.16 |
Where New York sits
The same service costs 11.7 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· 29th of 51
$15.85
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.