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 $39.81 Median $95.50 Typical High $151.36 | Facility | None | $39.81 | $95.50 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $95.50 Typical High $95.50 | Professional | None | $39.81 | $95.50 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $123.03 | Facility | None | $46.77 | $46.77 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $64.57 Typical High $109.65 | Professional | None | $42.66 | $64.57 | $109.65 |
CDPHP Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $117.49 Typical High $275.42 | Facility | None | $45.71 | $117.49 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $57.54 Typical High $229.09 | Professional | None | $28.84 | $57.54 | $229.09 |
Emblem Health Setting Facility Modifier None Typical Low $46.77 Median $128.82 Typical High $213.80 | Facility | None | $46.77 | $128.82 | $213.80 |
Emblem Health Setting Professional Modifier None Typical Low $33.11 Median $39.81 Typical High $69.18 | Professional | None | $33.11 | $39.81 | $69.18 |
Excellus BCBS Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $54.95 | Professional | None | $38.02 | $44.67 | $54.95 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $85.11 Typical High $257.04 | Facility | None | $13.80 | $85.11 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $30.90 Median $60.26 Typical High $97.72 | Professional | None | $30.90 | $60.26 | $97.72 |
United Setting Facility Modifier None Typical Low $42.66 Median $46.77 Typical High $58.88 | Facility | None | $42.66 | $46.77 | $58.88 |
United Setting Professional Modifier None Typical Low $19.95 Median $22.91 Typical High $72.44 | Professional | None | $19.95 | $22.91 | $72.44 |
Univera Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $50.12 | Facility | None | $30.20 | $30.20 | $50.12 |
Univera Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $52.48 | Professional | None | $38.02 | $44.67 | $52.48 |
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 $19.95 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $19.95 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $7.94 | $19.05 | $19.05 |
Where New York sits
The same service costs 5.8 times more in Kansas than in Oklahoma. 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· 31st of 51
$46.77
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.