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 $30.90 Median $44.67 Typical High $112.20 | Facility | None | $30.90 | $44.67 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $30.90 Typical High $91.20 | Professional | None | $28.84 | $30.90 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $95.50 | Facility | None | $36.31 | $36.31 | $95.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $48.98 Typical High $83.18 | Professional | None | $28.84 | $48.98 | $83.18 |
CDPHP Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $91.20 Typical High $117.49 | Facility | None | $35.48 | $91.20 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $44.67 Typical High $177.83 | Professional | None | $21.88 | $44.67 | $177.83 |
Emblem Health Setting Facility Modifier None Typical Low $36.31 Median $100.00 Typical High $165.96 | Facility | None | $36.31 | $100.00 | $165.96 |
Emblem Health Setting Professional Modifier None Typical Low $21.88 Median $30.90 Typical High $53.70 | Professional | None | $21.88 | $30.90 | $53.70 |
Excellus BCBS Setting Professional Modifier None Typical Low $29.51 Median $34.67 Typical High $41.69 | Professional | None | $29.51 | $34.67 | $41.69 |
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 $23.99 Median $60.26 Typical High $75.86 | Professional | None | $23.99 | $60.26 | $75.86 |
United Setting Facility Modifier None Typical Low $33.11 Median $36.31 Typical High $45.71 | Facility | None | $33.11 | $36.31 | $45.71 |
United Setting Professional Modifier None Typical Low $15.49 Median $17.38 Typical High $56.23 | Professional | None | $15.49 | $17.38 | $56.23 |
Univera Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $38.90 | Facility | None | $23.44 | $23.44 | $38.90 |
Univera Setting Professional Modifier None Typical Low $29.51 Median $34.67 Typical High $40.74 | Professional | None | $29.51 | $34.67 | $40.74 |
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 $15.49 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $15.49 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $6.17 | $16.60 | $16.60 |
Where New York sits
The same service costs 3.5 times more in California than in Nebraska. 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· 27th of 51
$36.31
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.