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 $3.39 Median $3.80 Typical High $11.48 | Facility | None | $3.39 | $3.80 | $11.48 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.80 | Professional | None | $3.39 | $3.39 | $3.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.47 Median $4.47 Typical High $11.75 | Facility | None | $4.47 | $4.47 | $11.75 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.24 Median $3.63 Typical High $12.30 | Professional | None | $2.24 | $3.63 | $12.30 |
CDPHP Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | None | $4.47 | $4.47 | $4.47 |
Cigna Setting Facility Modifier None Typical Low $4.37 Median $11.75 Typical High $50.12 | Facility | None | $4.37 | $11.75 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $6.17 Typical High $22.39 | Professional | None | $3.09 | $6.17 | $22.39 |
Emblem Health Setting Facility Modifier None Typical Low $3.02 Median $5.25 Typical High $10.23 | Facility | None | $3.02 | $5.25 | $10.23 |
Emblem Health Setting Professional Modifier None Typical Low $2.14 Median $2.69 Typical High $8.71 | Professional | None | $2.14 | $2.69 | $8.71 |
Excellus BCBS Setting Facility Modifier None Typical Low $0.51 Median $0.51 Typical High $0.51 | Facility | None | $0.51 | $0.51 | $0.51 |
Excellus BCBS Setting Professional Modifier None Typical Low $0.51 Median $4.27 Typical High $5.13 | Professional | None | $0.51 | $4.27 | $5.13 |
Highmark BCBS Setting Facility Modifier None Typical Low $3.02 Median $11.22 Typical High $30.90 | Facility | None | $3.02 | $11.22 | $30.90 |
MVP Health Care Setting Facility Modifier None Typical Low $1.10 Median $9.12 Typical High $257.04 | Facility | None | $1.10 | $9.12 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $9.33 | Professional | None | $3.63 | $3.63 | $9.33 |
United Setting Facility Modifier None Typical Low $4.07 Median $4.47 Typical High $10.47 | Facility | None | $4.07 | $4.47 | $10.47 |
United Setting Professional Modifier None Typical Low $1.91 Median $2.69 Typical High $6.76 | Professional | None | $1.91 | $2.69 | $6.76 |
Univera Setting Facility Modifier None Typical Low $0.51 Median $0.51 Typical High $15.14 | Facility | None | $0.51 | $0.51 | $15.14 |
Univera Setting Professional Modifier None Typical Low $0.51 Median $4.27 Typical High $5.37 | Professional | None | $0.51 | $4.27 | $5.37 |
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 $1.70 Median $1.70 Typical High $1.91 | Professional | 52 · Reduced service | $1.70 | $1.70 | $1.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.68 Typical High $0.78 | Professional | 53 · Discontinued | $0.68 | $0.68 | $0.78 |
Where New York sits
The same service costs 3.0 times more in Alaska than in Maryland. 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· 39th of 51
$3.80
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.