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 $37.15 Median $46.77 Typical High $151.36 | Facility | None | $37.15 | $46.77 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $42.66 | Professional | None | $37.15 | $37.15 | $42.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $128.82 | Facility | None | $50.12 | $50.12 | $128.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $47.86 Median $75.86 Typical High $158.49 | Professional | None | $47.86 | $75.86 | $158.49 |
CDPHP Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $107.15 Typical High $141.25 | Facility | None | $47.86 | $107.15 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $67.61 Typical High $239.88 | Professional | None | $33.88 | $67.61 | $239.88 |
Emblem Health Setting Facility Modifier None Typical Low $42.66 Median $64.57 Typical High $112.20 | Facility | None | $42.66 | $64.57 | $112.20 |
Emblem Health Setting Professional Modifier None Typical Low $34.67 Median $41.69 Typical High $72.44 | Professional | None | $34.67 | $41.69 | $72.44 |
Excellus BCBS Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $61.66 | Professional | None | $41.69 | $50.12 | $61.66 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $89.13 Typical High $257.04 | Facility | None | $13.80 | $89.13 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $39.81 Median $44.67 Typical High $102.33 | Professional | None | $39.81 | $44.67 | $102.33 |
United Setting Facility Modifier None Typical Low $44.67 Median $50.12 Typical High $61.66 | Facility | None | $44.67 | $50.12 | $61.66 |
United Setting Professional Modifier None Typical Low $20.89 Median $28.84 Typical High $75.86 | Professional | None | $20.89 | $28.84 | $75.86 |
Univera Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $52.48 | Facility | None | $32.36 | $32.36 | $52.48 |
Univera Setting Professional Modifier None Typical Low $32.36 Median $50.12 Typical High $57.54 | Professional | None | $32.36 | $50.12 | $57.54 |
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 $18.62 Median $18.62 Typical High $21.38 | Professional | 52 · Reduced service | $18.62 | $18.62 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $8.51 | Professional | 53 · Discontinued | $7.41 | $7.41 | $8.51 |
Where New York sits
The same service costs 5.8 times more in Texas than in New Mexico. 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· 36th 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.