How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $0.02 Median $19.50 Typical High $102.33 | Facility | None | $0.02 | $19.50 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $18.20 Median $19.50 Typical High $19.50 | Professional | None (both parts) | $18.20 | $19.50 | $19.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $8.91 Median $12.02 Typical High $31.62 | Professional | None (both parts) | $8.91 | $12.02 | $31.62 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None (both parts) | $22.39 | $22.39 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $51.29 | Facility | None | $50.12 | $50.12 | $51.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14.45 Median $32.36 Typical High $114.82 | Professional | None (both parts) | $14.45 | $32.36 | $114.82 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $14.79 Median $23.44 Typical High $25.12 | Professional | None (both parts) | $14.79 | $23.44 | $25.12 |
Highmark BCBS Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $19.95 Typical High $257.04 | Facility | None | $13.80 | $19.95 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None (both parts) | $37.15 | $37.15 | $37.15 |
United Setting Professional Modifier None (both parts) Typical Low $9.77 Median $16.22 Typical High $37.15 | Professional | None (both parts) | $9.77 | $16.22 | $37.15 |
Univera Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $26.30 | Facility | None | $14.79 | $14.79 | $26.30 |
Univera Setting Professional Modifier None (both parts) Typical Low $14.79 Median $22.91 Typical High $25.12 | Professional | None (both parts) | $14.79 | $22.91 | $25.12 |
5 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 $9.12 Median $9.77 Typical High $9.77 | Professional | 52 · Reduced service | $9.12 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.89 Typical High $3.89 | Professional | 53 · Discontinued | $3.63 | $3.89 | $3.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $17.78 Typical High $20.89 | Professional | 26 · Professional part | $10.72 | $17.78 | $20.89 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $5.62 Median $26.30 Typical High $37.15 | Facility | TC · Technical part | $5.62 | $26.30 | $37.15 |
Univera Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $22.39 Typical High $23.44 | Professional | TC · Technical part | $13.80 | $22.39 | $23.44 |
Where New York sits
The same service costs 11.2 times more in Alaska than in Georgia. 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· 31st of 51
$16.98
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.