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 $12.59 Median $14.45 Typical High $41.69 | Facility | None | $12.59 | $14.45 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $12.59 Typical High $18.62 | Professional | None | $10.96 | $12.59 | $18.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $44.67 | Facility | None | $16.98 | $16.98 | $44.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $15.49 Typical High $38.90 | Professional | None | $7.24 | $15.49 | $38.90 |
CDPHP Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $36.31 Typical High $48.98 | Facility | None | $16.60 | $36.31 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $24.55 Typical High $83.18 | Professional | None | $10.00 | $24.55 | $83.18 |
Emblem Health Setting Facility Modifier None Typical Low $13.18 Median $20.42 Typical High $38.90 | Facility | None | $13.18 | $20.42 | $38.90 |
Emblem Health Setting Professional Modifier None Typical Low $6.92 Median $10.23 Typical High $33.11 | Professional | None | $6.92 | $10.23 | $33.11 |
Excellus BCBS Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Facility | None | $5.01 | $5.01 | $5.01 |
Excellus BCBS Setting Professional Modifier None Typical Low $5.01 Median $15.85 Typical High $19.05 | Professional | None | $5.01 | $15.85 | $19.05 |
Highmark BCBS Setting Facility Modifier None Typical Low $16.98 Median $57.54 Typical High $309.03 | Facility | None | $16.98 | $57.54 | $309.03 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $30.90 Typical High $257.04 | Facility | None | $13.80 | $30.90 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $35.48 | Professional | None | $11.75 | $11.75 | $35.48 |
United Setting Facility Modifier None Typical Low $15.49 Median $16.98 Typical High $21.38 | Facility | None | $15.49 | $16.98 | $21.38 |
United Setting Professional Modifier None Typical Low $7.24 Median $10.23 Typical High $25.70 | Professional | None | $7.24 | $10.23 | $25.70 |
Univera Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $23.99 | Facility | None | $5.01 | $5.01 | $23.99 |
Univera Setting Professional Modifier None Typical Low $5.01 Median $14.45 Typical High $19.05 | Professional | None | $5.01 | $14.45 | $19.05 |
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 $5.50 Median $5.50 Typical High $7.24 | Professional | 52 · Reduced service | $5.50 | $5.50 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.19 Typical High $2.88 | Professional | 53 · Discontinued | $2.19 | $2.19 | $2.88 |
Where New York sits
The same service costs 9.5 times more in Minnesota 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· 34th of 51
$14.45
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.