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 $75.86 Median $97.72 Typical High $316.23 | Facility | None | $75.86 | $97.72 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $91.20 | Professional | None | $75.86 | $75.86 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $269.15 | Facility | None | $102.33 | $102.33 | $269.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $81.28 Typical High $281.84 | Professional | None | $51.29 | $81.28 | $281.84 |
CDPHP Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $223.87 Typical High $1,122.02 | Facility | None | $100.00 | $223.87 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $147.91 Typical High $691.83 | Professional | None | $72.44 | $147.91 | $691.83 |
Emblem Health Setting Facility Modifier None Typical Low $52.48 Median $112.20 Typical High $234.42 | Facility | None | $52.48 | $112.20 | $234.42 |
Emblem Health Setting Professional Modifier None Typical Low $47.86 Median $61.66 Typical High $199.53 | Professional | None | $47.86 | $61.66 | $199.53 |
Excellus BCBS Setting Professional Modifier None Typical Low $67.61 Median $102.33 Typical High $114.82 | Professional | None | $67.61 | $102.33 | $114.82 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $186.21 Typical High $257.04 | Facility | None | $13.80 | $186.21 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $213.80 | Professional | None | $83.18 | $83.18 | $213.80 |
United Setting Facility Modifier None Typical Low $93.33 Median $102.33 Typical High $128.82 | Facility | None | $93.33 | $102.33 | $128.82 |
United Setting Professional Modifier None Typical Low $43.65 Median $61.66 Typical High $154.88 | Professional | None | $43.65 | $61.66 | $154.88 |
Univera Setting Facility Modifier None Typical Low $51.29 Median $117.49 Typical High $371.54 | Facility | None | $51.29 | $117.49 | $371.54 |
Univera Setting Professional Modifier None Typical Low $67.61 Median $102.33 Typical High $123.03 | Professional | None | $67.61 | $102.33 | $123.03 |
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 $38.02 Median $38.02 Typical High $43.65 | Professional | 52 · Reduced service | $38.02 | $38.02 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $17.38 | Professional | 53 · Discontinued | $15.14 | $15.14 | $17.38 |
Where New York sits
The same service costs 5.1 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· 29th of 51
$93.33
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.