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 $5.01 Median $5.01 Typical High $20.42 | Professional | None (both parts) | $5.01 | $5.01 | $20.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $10.47 Typical High $13.49 | Professional | 26 · Professional part | $6.46 | $10.47 | $13.49 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None (both parts) | $12.88 | $12.88 | $12.88 |
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 $12.30 Median $12.30 Typical High $15.49 | Professional | None (both parts) | $12.30 | $12.30 | $15.49 |
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 $8.32 Median $8.32 Typical High $9.77 | Facility | TC · Technical part | $8.32 | $8.32 | $9.77 |
Univera Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $8.32 Typical High $9.77 | Professional | TC · Technical part | $8.32 | $8.32 | $9.77 |
Where New York sits
The same service costs 3981.1 times more in Montana 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· 42nd of 51
$8.51
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.