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 $12.02 Median $15.49 Typical High $48.98 | Facility | None | $12.02 | $15.49 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $14.79 | Professional | None | $12.02 | $12.02 | $14.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $41.69 | Facility | None | $16.22 | $16.22 | $41.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.94 Median $12.88 Typical High $43.65 | Professional | None | $7.94 | $12.88 | $43.65 |
CDPHP Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None | $16.22 | $16.22 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $34.67 Typical High $173.78 | Facility | None | $15.85 | $34.67 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $21.88 Typical High $107.15 | Professional | None | $11.48 | $21.88 | $107.15 |
Emblem Health Setting Facility Modifier None Typical Low $13.18 Median $19.95 Typical High $36.31 | Facility | None | $13.18 | $19.95 | $36.31 |
Emblem Health Setting Professional Modifier None Typical Low $7.59 Median $10.72 Typical High $31.62 | Professional | None | $7.59 | $10.72 | $31.62 |
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 $16.22 Typical High $19.05 | Professional | None | $10.72 | $16.22 | $19.05 |
Highmark BCBS Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
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 $12.88 Median $12.88 Typical High $33.11 | Professional | None | $12.88 | $12.88 | $33.11 |
United Setting Facility Modifier None Typical Low $14.45 Median $16.22 Typical High $19.95 | Facility | None | $14.45 | $16.22 | $19.95 |
United Setting Professional Modifier None Typical Low $6.76 Median $10.47 Typical High $23.99 | Professional | None | $6.76 | $10.47 | $23.99 |
Univera Setting Facility Modifier None Typical Low $10.47 Median $10.72 Typical High $40.74 | Facility | None | $10.47 | $10.72 | $40.74 |
Univera Setting Professional Modifier None Typical Low $10.47 Median $16.22 Typical High $21.88 | Professional | None | $10.47 | $16.22 | $21.88 |
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 $6.03 Median $6.03 Typical High $6.92 | Professional | 52 · Reduced service | $6.03 | $6.03 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.40 Typical High $2.75 | Professional | 53 · Discontinued | $2.40 | $2.40 | $2.75 |
Where New York sits
The same service costs 3.0 times more in Alaska than in Rhode Island. 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· 36th of 51
$13.80
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.