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 $23.99 Median $28.18 Typical High $100.00 | Facility | None | $23.99 | $28.18 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $25.12 Typical High $42.66 | Professional | None | $23.99 | $25.12 | $42.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $85.11 | Facility | None | $32.36 | $32.36 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.22 Median $25.70 Typical High $89.13 | Professional | None | $16.22 | $25.70 | $89.13 |
CDPHP Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $70.79 Typical High $354.81 | Facility | None | $31.62 | $70.79 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $46.77 Typical High $213.80 | Professional | None | $22.91 | $46.77 | $213.80 |
Emblem Health Setting Facility Modifier None Typical Low $16.60 Median $32.36 Typical High $74.13 | Facility | None | $16.60 | $32.36 | $74.13 |
Emblem Health Setting Professional Modifier None Typical Low $15.49 Median $22.91 Typical High $63.10 | Professional | None | $15.49 | $22.91 | $63.10 |
Excellus BCBS Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Excellus BCBS Setting Professional Modifier None Typical Low $21.38 Median $32.36 Typical High $41.69 | Professional | None | $21.38 | $32.36 | $41.69 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $58.88 Typical High $257.04 | Facility | None | $13.80 | $58.88 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $75.86 | Professional | None | $26.30 | $26.30 | $75.86 |
United Setting Facility Modifier None Typical Low $29.51 Median $32.36 Typical High $40.74 | Facility | None | $29.51 | $32.36 | $40.74 |
United Setting Professional Modifier None Typical Low $13.80 Median $19.50 Typical High $48.98 | Professional | None | $13.80 | $19.50 | $48.98 |
Univera Setting Facility Modifier None Typical Low $21.38 Median $32.36 Typical High $83.18 | Facility | None | $21.38 | $32.36 | $83.18 |
Univera Setting Professional Modifier None Typical Low $21.38 Median $32.36 Typical High $41.69 | Professional | None | $21.38 | $32.36 | $41.69 |
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 $12.02 Median $12.02 Typical High $13.80 | Professional | 52 · Reduced service | $12.02 | $12.02 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $5.50 | Professional | 53 · Discontinued | $4.79 | $4.79 | $5.50 |
Where New York sits
The same service costs 4.6 times more in Kansas than in Alabama. 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· 32nd of 51
$31.62
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.