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 $1.62 Median $2.04 Typical High $5.50 | Facility | None | $1.62 | $2.04 | $5.50 |
Aetna Setting Professional Modifier None Typical Low $1.62 Median $1.82 Typical High $2.82 | Professional | None | $1.62 | $1.82 | $2.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.19 Median $2.19 Typical High $5.62 | Facility | None | $2.19 | $2.19 | $5.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.07 Median $1.66 Typical High $5.62 | Professional | None | $1.07 | $1.66 | $5.62 |
CDPHP Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | None | $2.19 | $2.19 | $2.19 |
Cigna Setting Facility Modifier None Typical Low $2.14 Median $4.57 Typical High $22.39 | Facility | None | $2.14 | $4.57 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $1.51 Median $2.95 Typical High $13.49 | Professional | None | $1.51 | $2.95 | $13.49 |
Emblem Health Setting Facility Modifier None Typical Low $1.00 Median $2.19 Typical High $4.90 | Facility | None | $1.00 | $2.19 | $4.90 |
Emblem Health Setting Professional Modifier None Typical Low $1.02 Median $1.29 Typical High $4.17 | Professional | None | $1.02 | $1.29 | $4.17 |
Excellus BCBS Setting Professional Modifier None Typical Low $1.41 Median $2.19 Typical High $2.40 | Professional | None | $1.41 | $2.19 | $2.40 |
MVP Health Care Setting Facility Modifier None Typical Low $2.24 Median $11.22 Typical High $257.04 | Facility | None | $2.24 | $11.22 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $4.47 | Professional | None | $1.74 | $1.74 | $4.47 |
United Setting Facility Modifier None Typical Low $1.95 Median $2.19 Typical High $6.03 | Facility | None | $1.95 | $2.19 | $6.03 |
United Setting Professional Modifier None Typical Low $0.98 Median $1.51 Typical High $3.24 | Professional | None | $0.98 | $1.51 | $3.24 |
Univera Setting Facility Modifier None Typical Low $1.41 Median $2.51 Typical High $6.92 | Facility | None | $1.41 | $2.51 | $6.92 |
Univera Setting Professional Modifier None Typical Low $1.41 Median $2.19 Typical High $2.45 | Professional | None | $1.41 | $2.19 | $2.45 |
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 $0.81 Median $0.81 Typical High $0.91 | Professional | 52 · Reduced service | $0.81 | $0.81 | $0.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.32 Median $0.32 Typical High $0.37 | Professional | 53 · Discontinued | $0.32 | $0.32 | $0.37 |
Where New York sits
The same service costs 3.2 times more in Kansas than in Washington, DC. 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
$2.04
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.