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 $8.71 Median $11.75 Typical High $60.26 | Facility | None | $8.71 | $11.75 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $12.59 | Professional | None | $8.71 | $8.71 | $12.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $35.48 | Facility | None | $13.80 | $13.80 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $10.72 Typical High $33.88 | Professional | None | $6.76 | $10.72 | $33.88 |
CDPHP Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $30.20 Typical High $125.89 | Facility | None | $13.49 | $30.20 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $18.62 Typical High $91.20 | Professional | None | $9.77 | $18.62 | $91.20 |
Emblem Health Setting Facility Modifier None Typical Low $12.59 Median $17.78 Typical High $30.90 | Facility | None | $12.59 | $17.78 | $30.90 |
Emblem Health Setting Professional Modifier None Typical Low $6.46 Median $9.55 Typical High $26.92 | Professional | None | $6.46 | $9.55 | $26.92 |
Excellus BCBS Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | None | $10.72 | $10.72 | $10.72 |
Excellus BCBS Setting Professional Modifier None Typical Low $10.72 Median $13.80 Typical High $18.20 | Professional | None | $10.72 | $13.80 | $18.20 |
Highmark BCBS Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $36.31 | Facility | None | $30.90 | $30.90 | $36.31 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $22.91 Typical High $257.04 | Facility | None | $13.80 | $22.91 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $28.18 | Professional | None | $10.96 | $10.96 | $28.18 |
United Setting Facility Modifier None Typical Low $12.30 Median $13.80 Typical High $17.38 | Facility | None | $12.30 | $13.80 | $17.38 |
United Setting Professional Modifier None Typical Low $5.75 Median $8.51 Typical High $20.42 | Professional | None | $5.75 | $8.51 | $20.42 |
Univera Setting Facility Modifier None Typical Low $9.12 Median $10.72 Typical High $34.67 | Facility | None | $9.12 | $10.72 | $34.67 |
Univera Setting Professional Modifier None Typical Low $9.12 Median $13.80 Typical High $22.91 | Professional | None | $9.12 | $13.80 | $22.91 |
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 $4.37 Median $4.37 Typical High $5.89 | Professional | 52 · Reduced service | $4.37 | $4.37 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.74 Typical High $2.34 | Professional | 53 · Discontinued | $1.74 | $1.74 | $2.34 |
Where New York sits
The same service costs 3.4 times more in Kansas than in Maryland. 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· 35th of 51
$11.75
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.