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 $21.38 Median $25.12 Typical High $89.13 | Facility | None | $21.38 | $25.12 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $26.30 | Professional | None | $21.38 | $21.38 | $26.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $74.13 | Facility | None | $28.84 | $28.84 | $74.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $22.91 Typical High $79.43 | Professional | None | $14.13 | $22.91 | $79.43 |
CDPHP Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $63.10 Typical High $309.03 | Facility | None | $28.18 | $63.10 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $38.90 Typical High $190.55 | Professional | None | $19.95 | $38.90 | $190.55 |
Emblem Health Setting Facility Modifier None Typical Low $17.78 Median $28.84 Typical High $64.57 | Facility | None | $17.78 | $28.84 | $64.57 |
Emblem Health Setting Professional Modifier None Typical Low $13.49 Median $19.95 Typical High $56.23 | Professional | None | $13.49 | $19.95 | $56.23 |
Excellus BCBS Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Excellus BCBS Setting Professional Modifier None Typical Low $24.55 Median $28.84 Typical High $34.67 | Professional | None | $24.55 | $28.84 | $34.67 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $52.48 Typical High $257.04 | Facility | None | $13.80 | $52.48 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $58.88 | Professional | None | $22.91 | $22.91 | $58.88 |
United Setting Facility Modifier None Typical Low $25.70 Median $28.84 Typical High $36.31 | Facility | None | $25.70 | $28.84 | $36.31 |
United Setting Professional Modifier None Typical Low $12.02 Median $18.62 Typical High $43.65 | Professional | None | $12.02 | $18.62 | $43.65 |
Univera Setting Facility Modifier None Typical Low $19.05 Median $28.84 Typical High $72.44 | Facility | None | $19.05 | $28.84 | $72.44 |
Univera Setting Professional Modifier None Typical Low $19.05 Median $28.84 Typical High $37.15 | Professional | None | $19.05 | $28.84 | $37.15 |
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 $10.72 Median $10.72 Typical High $12.30 | Professional | 52 · Reduced service | $10.72 | $10.72 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $4.90 | Professional | 53 · Discontinued | $4.27 | $4.27 | $4.90 |
Where New York sits
The same service costs 5.5 times more in Kansas 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· 27th of 51
$27.54
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.