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 $37.15 Median $47.86 Typical High $154.88 | Facility | None | $37.15 | $47.86 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $47.86 | Professional | None | $37.15 | $37.15 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $131.83 | Facility | None | $50.12 | $50.12 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.12 Median $39.81 Typical High $138.04 | Professional | None | $25.12 | $39.81 | $138.04 |
CDPHP Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $109.65 Typical High $549.54 | Facility | None | $48.98 | $109.65 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $72.44 Typical High $331.13 | Professional | None | $35.48 | $72.44 | $331.13 |
Emblem Health Setting Facility Modifier None Typical Low $26.30 Median $53.70 Typical High $112.20 | Facility | None | $26.30 | $53.70 | $112.20 |
Emblem Health Setting Professional Modifier None Typical Low $23.44 Median $30.20 Typical High $97.72 | Professional | None | $23.44 | $30.20 | $97.72 |
Excellus BCBS Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
Excellus BCBS Setting Professional Modifier None Typical Low $18.20 Median $50.12 Typical High $56.23 | Professional | None | $18.20 | $50.12 | $56.23 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $66.07 Typical High $257.04 | Facility | None | $13.80 | $66.07 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $104.71 | Professional | None | $40.74 | $40.74 | $104.71 |
United Setting Facility Modifier None Typical Low $45.71 Median $50.12 Typical High $63.10 | Facility | None | $45.71 | $50.12 | $63.10 |
United Setting Professional Modifier None Typical Low $21.38 Median $30.20 Typical High $75.86 | Professional | None | $21.38 | $30.20 | $75.86 |
Univera Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $128.82 | Facility | None | $18.20 | $18.20 | $128.82 |
Univera Setting Professional Modifier None Typical Low $18.20 Median $50.12 Typical High $60.26 | Professional | None | $18.20 | $50.12 | $60.26 |
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 $18.62 Median $18.62 Typical High $21.38 | Professional | 52 · Reduced service | $18.62 | $18.62 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $8.51 | Professional | 53 · Discontinued | $7.41 | $7.41 | $8.51 |
Where New York sits
The same service costs 3.8 times more in Kansas than in Texas. 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· 37th of 51
$42.66
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.