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 $5.13 Median $7.94 Typical High $28.84 | Facility | None | $5.13 | $7.94 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $9.55 | Professional | None | $5.13 | $5.13 | $9.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $24.55 | Facility | None | $9.33 | $9.33 | $24.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.72 Median $6.46 Typical High $21.38 | Professional | None | $3.72 | $6.46 | $21.38 |
CDPHP Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $19.95 Typical High $74.13 | Facility | None | $9.12 | $19.95 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $10.72 Typical High $57.54 | Professional | None | $5.50 | $10.72 | $57.54 |
Emblem Health Setting Facility Modifier None Typical Low $9.12 Median $12.02 Typical High $20.89 | Facility | None | $9.12 | $12.02 | $20.89 |
Emblem Health Setting Professional Modifier None Typical Low $4.37 Median $6.61 Typical High $18.20 | Professional | None | $4.37 | $6.61 | $18.20 |
Excellus BCBS Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | None | $9.12 | $9.12 | $9.12 |
Excellus BCBS Setting Professional Modifier None Typical Low $6.17 Median $9.12 Typical High $10.47 | Professional | None | $6.17 | $9.12 | $10.47 |
MVP Health Care Setting Facility Modifier None Typical Low $9.33 Median $17.78 Typical High $257.04 | Facility | None | $9.33 | $17.78 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $30.20 | Professional | None | $6.03 | $6.03 | $30.20 |
United Setting Facility Modifier None Typical Low $8.51 Median $9.33 Typical High $36.31 | Facility | None | $8.51 | $9.33 | $36.31 |
United Setting Professional Modifier None Typical Low $3.89 Median $5.62 Typical High $14.45 | Professional | None | $3.89 | $5.62 | $14.45 |
Univera Setting Facility Modifier None Typical Low $6.17 Median $9.12 Typical High $22.39 | Facility | None | $6.17 | $9.12 | $22.39 |
Univera Setting Professional Modifier None Typical Low $6.17 Median $9.12 Typical High $11.48 | Professional | None | $6.17 | $9.12 | $11.48 |
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 $2.51 Median $2.51 Typical High $3.98 | Professional | 52 · Reduced service | $2.51 | $2.51 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.02 Median $1.02 Typical High $1.58 | Professional | 53 · Discontinued | $1.02 | $1.02 | $1.58 |
Where New York sits
The same service costs 5.9 times more in Kansas 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· 25th of 51
$8.91
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.