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 $0.02 Typical High $0.05 | Facility | None | $0.02 | $0.02 | $0.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | None (both parts) | $0.02 | $0.02 | $0.02 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $3.89 Median $3.89 Typical High $22.39 | Professional | None (both parts) | $3.89 | $3.89 | $22.39 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $12.59 Typical High $16.22 | Professional | 26 · Professional part | $7.76 | $12.59 | $16.22 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | None (both parts) | $9.55 | $9.55 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $35.48 | Professional | None (both parts) | $28.18 | $28.18 | $35.48 |
Highmark BCBS Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
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 $16.22 Median $16.22 Typical High $16.22 | Professional | None (both parts) | $16.22 | $16.22 | $16.22 |
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 |
|---|---|---|---|---|---|
Univera Setting Facility Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $60.26 | Facility | TC · Technical part | $51.29 | $51.29 | $60.26 |
Univera Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $60.26 | Professional | TC · Technical part | $51.29 | $51.29 | $60.26 |
Where New York sits
The same service costs 6166.0 times more in Kansas than in Tennessee. 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· 40th of 51
$6.76
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.