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 $2.34 Median $3.39 Typical High $12.30 | Facility | None | $2.34 | $3.39 | $12.30 |
Aetna Setting Professional Modifier None Typical Low $2.34 Median $3.39 Typical High $7.41 | Professional | None | $2.34 | $3.39 | $7.41 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $10.47 | Facility | None | $3.98 | $3.98 | $10.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.62 Median $2.95 Typical High $9.12 | Professional | None | $1.62 | $2.95 | $9.12 |
CDPHP Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | None | $3.98 | $3.98 | $3.98 |
Cigna Setting Facility Modifier None Typical Low $3.89 Median $8.91 Typical High $34.67 | Facility | None | $3.89 | $8.91 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $4.57 Typical High $19.50 | Professional | None | $2.57 | $4.57 | $19.50 |
Emblem Health Setting Facility Modifier None Typical Low $2.00 Median $3.98 Typical High $9.12 | Facility | None | $2.00 | $3.98 | $9.12 |
Emblem Health Setting Professional Modifier None Typical Low $2.34 Median $3.63 Typical High $4.17 | Professional | None | $2.34 | $3.63 | $4.17 |
Excellus BCBS Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Facility | None | $3.98 | $3.98 | $3.98 |
Excellus BCBS Setting Professional Modifier None Typical Low $2.82 Median $3.98 Typical High $4.47 | Professional | None | $2.82 | $3.98 | $4.47 |
Highmark BCBS Setting Facility Modifier None Typical Low $4.68 Median $4.79 Typical High $10.00 | Facility | None | $4.68 | $4.79 | $10.00 |
Highmark BCBS Setting Professional Modifier None Typical Low $2.69 Median $2.69 Typical High $2.69 | Professional | None | $2.69 | $2.69 | $2.69 |
MVP Health Care Setting Facility Modifier None Typical Low $3.98 Median $8.51 Typical High $257.04 | Facility | None | $3.98 | $8.51 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $8.32 | Professional | None | $2.63 | $2.63 | $8.32 |
United Setting Facility Modifier None Typical Low $3.63 Median $3.98 Typical High $8.91 | Facility | None | $3.63 | $3.98 | $8.91 |
United Setting Professional Modifier None Typical Low $1.82 Median $2.51 Typical High $5.50 | Professional | None | $1.82 | $2.51 | $5.50 |
Univera Setting Facility Modifier None Typical Low $2.63 Median $3.98 Typical High $10.96 | Facility | None | $2.63 | $3.98 | $10.96 |
Univera Setting Professional Modifier None Typical Low $2.63 Median $3.98 Typical High $5.13 | Professional | None | $2.63 | $3.98 | $5.13 |
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 $1.17 Median $1.17 Typical High $1.70 | Professional | 52 · Reduced service | $1.17 | $1.17 | $1.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.47 Median $0.47 Typical High $0.68 | Professional | 53 · Discontinued | $0.47 | $0.47 | $0.68 |
Where New York sits
The same service costs 2.8 times more in Alaska than in North Carolina. 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
$3.72
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.