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 $2.24 Median $3.09 Typical High $9.12 | Facility | None | $2.24 | $3.09 | $9.12 |
Aetna Setting Professional Modifier None Typical Low $2.24 Median $2.29 Typical High $3.98 | Professional | None | $2.24 | $2.29 | $3.98 |
Ambetter Setting Professional Modifier None Typical Low $1.62 Median $1.62 Typical High $1.62 | Professional | None | $1.62 | $1.62 | $1.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.63 Median $3.63 Typical High $9.55 | Facility | None | $3.63 | $3.63 | $9.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.48 Median $3.63 Typical High $8.91 | Professional | None | $1.48 | $3.63 | $8.91 |
CDPHP Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | None | $3.63 | $3.63 | $3.63 |
Cigna Setting Facility Modifier None Typical Low $3.55 Median $7.76 Typical High $32.36 | Facility | None | $3.55 | $7.76 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $2.19 Median $4.17 Typical High $47.86 | Professional | None | $2.19 | $4.17 | $47.86 |
Emblem Health Setting Facility Modifier None Typical Low $3.63 Median $8.13 Typical High $15.14 | Facility | None | $3.63 | $8.13 | $15.14 |
Emblem Health Setting Professional Modifier None Typical Low $1.70 Median $2.19 Typical High $7.08 | Professional | None | $1.70 | $2.19 | $7.08 |
Excellus BCBS Setting Professional Modifier None Typical Low $2.40 Median $3.55 Typical High $3.98 | Professional | None | $2.40 | $3.55 | $3.98 |
Highmark BCBS Setting Facility Modifier None Typical Low $3.16 Median $7.59 Typical High $16.60 | Facility | None | $3.16 | $7.59 | $16.60 |
MVP Health Care Setting Facility Modifier None Typical Low $3.72 Median $13.80 Typical High $257.04 | Facility | None | $3.72 | $13.80 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $7.59 | Professional | None | $2.40 | $2.40 | $7.59 |
United Setting Facility Modifier None Typical Low $3.31 Median $3.63 Typical High $4.57 | Facility | None | $3.31 | $3.63 | $4.57 |
United Setting Professional Modifier None Typical Low $1.51 Median $2.19 Typical High $5.37 | Professional | None | $1.51 | $2.19 | $5.37 |
Univera Setting Facility Modifier None Typical Low $2.40 Median $4.17 Typical High $12.59 | Facility | None | $2.40 | $4.17 | $12.59 |
Univera Setting Professional Modifier None Typical Low $2.40 Median $3.55 Typical High $4.07 | Professional | None | $2.40 | $3.55 | $4.07 |
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 $1.12 Median $1.12 Typical High $1.55 | Professional | 52 · Reduced service | $1.12 | $1.12 | $1.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.45 Median $0.45 Typical High $0.62 | Professional | 53 · Discontinued | $0.45 | $0.45 | $0.62 |
Where New York sits
The same service costs 4.8 times more in Alaska than in Kentucky. 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
$3.47
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.