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 $4.90 Typical High $19.05 | Facility | None | $2.24 | $4.90 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $2.24 Median $5.25 Typical High $8.91 | Professional | None | $2.24 | $5.25 | $8.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $16.22 | Facility | None | $6.17 | $6.17 | $16.22 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.51 Median $3.80 Typical High $12.59 | Professional | None | $2.51 | $3.80 | $12.59 |
CDPHP Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | None | $6.17 | $6.17 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $13.49 Typical High $33.11 | Facility | None | $6.03 | $13.49 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $3.55 Median $7.08 Typical High $32.36 | Professional | None | $3.55 | $7.08 | $32.36 |
Emblem Health Setting Facility Modifier None Typical Low $6.17 Median $10.23 Typical High $16.98 | Facility | None | $6.17 | $10.23 | $16.98 |
Emblem Health Setting Professional Modifier None Typical Low $2.95 Median $3.72 Typical High $12.02 | Professional | None | $2.95 | $3.72 | $12.02 |
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 $5.37 Typical High $7.08 | Professional | None | $0.51 | $5.37 | $7.08 |
MVP Health Care Setting Facility Modifier None Typical Low $1.10 Median $12.59 Typical High $257.04 | Facility | None | $1.10 | $12.59 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $15.14 | Professional | None | $4.07 | $4.07 | $15.14 |
United Setting Facility Modifier None Typical Low $5.62 Median $6.17 Typical High $7.76 | Facility | None | $5.62 | $6.17 | $7.76 |
United Setting Professional Modifier None Typical Low $2.82 Median $3.72 Typical High $9.33 | Professional | None | $2.82 | $3.72 | $9.33 |
Univera Setting Facility Modifier None Typical Low $0.51 Median $0.51 Typical High $13.80 | Facility | None | $0.51 | $0.51 | $13.80 |
Univera Setting Professional Modifier None Typical Low $0.51 Median $5.37 Typical High $14.45 | Professional | None | $0.51 | $5.37 | $14.45 |
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 $2.63 | Professional | 52 · Reduced service | $1.12 | $1.12 | $2.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.45 Median $0.45 Typical High $1.07 | Professional | 53 · Discontinued | $0.45 | $0.45 | $1.07 |
Where New York sits
The same service costs 3.5 times more in Alaska than in Alabama. 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· 47th of 51
$4.79
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.