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 $7.94 Median $12.02 Typical High $43.65 | Facility | None | $7.94 | $12.02 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $18.20 | Professional | None | $7.94 | $7.94 | $18.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $37.15 | Facility | None | $14.13 | $14.13 | $37.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.92 Median $10.96 Typical High $33.11 | Professional | None | $6.92 | $10.96 | $33.11 |
CDPHP Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $30.90 Typical High $117.49 | Facility | None | $13.80 | $30.90 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $18.62 Typical High $93.33 | Professional | None | $10.00 | $18.62 | $93.33 |
Emblem Health Setting Facility Modifier None Typical Low $10.00 Median $16.22 Typical High $31.62 | Facility | None | $10.00 | $16.22 | $31.62 |
Emblem Health Setting Professional Modifier None Typical Low $6.61 Median $9.33 Typical High $27.54 | Professional | None | $6.61 | $9.33 | $27.54 |
Excellus BCBS Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
Excellus BCBS Setting Professional Modifier None Typical Low $9.33 Median $13.49 Typical High $15.85 | Professional | None | $9.33 | $13.49 | $15.85 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $19.95 Typical High $257.04 | Facility | None | $13.80 | $19.95 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $29.51 | Professional | None | $11.22 | $11.22 | $29.51 |
United Setting Facility Modifier None Typical Low $12.88 Median $14.13 Typical High $17.78 | Facility | None | $12.88 | $14.13 | $17.78 |
United Setting Professional Modifier None Typical Low $6.03 Median $8.51 Typical High $21.38 | Professional | None | $6.03 | $8.51 | $21.38 |
Univera Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $48.98 | Facility | None | $9.33 | $9.33 | $48.98 |
Univera Setting Professional Modifier None Typical Low $9.33 Median $13.49 Typical High $16.60 | Professional | None | $9.33 | $13.49 | $16.60 |
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 $3.98 Median $3.98 Typical High $6.03 | Professional | 52 · Reduced service | $3.98 | $3.98 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.58 Typical High $2.40 | Professional | 53 · Discontinued | $1.58 | $1.58 | $2.40 |
Where New York sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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· 45th of 51
$11.22
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.