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 $18.62 Median $23.99 Typical High $77.62 | Facility | None | $18.62 | $23.99 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $22.91 | Professional | None | $18.62 | $18.62 | $22.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $66.07 | Facility | None | $25.70 | $25.70 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.30 Median $19.95 Typical High $67.61 | Professional | None | $12.30 | $19.95 | $67.61 |
CDPHP Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $54.95 Typical High $269.15 | Facility | None | $25.12 | $54.95 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $33.88 Typical High $165.96 | Professional | None | $17.78 | $33.88 | $165.96 |
Emblem Health Setting Facility Modifier None Typical Low $19.95 Median $30.90 Typical High $57.54 | Facility | None | $19.95 | $30.90 | $57.54 |
Emblem Health Setting Professional Modifier None Typical Low $12.02 Median $15.49 Typical High $50.12 | Professional | None | $12.02 | $15.49 | $50.12 |
Excellus BCBS Setting Professional Modifier None Typical Low $16.60 Median $25.70 Typical High $28.84 | Professional | None | $16.60 | $25.70 | $28.84 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $45.71 Typical High $257.04 | Facility | None | $13.80 | $45.71 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $60.26 | Professional | None | $19.95 | $19.95 | $60.26 |
United Setting Facility Modifier None Typical Low $22.91 Median $25.70 Typical High $31.62 | Facility | None | $22.91 | $25.70 | $31.62 |
United Setting Professional Modifier None Typical Low $10.72 Median $15.49 Typical High $38.02 | Professional | None | $10.72 | $15.49 | $38.02 |
Univera Setting Facility Modifier None Typical Low $16.60 Median $29.51 Typical High $95.50 | Facility | None | $16.60 | $29.51 | $95.50 |
Univera Setting Professional Modifier None Typical Low $16.60 Median $25.70 Typical High $29.51 | Professional | None | $16.60 | $25.70 | $29.51 |
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 $9.33 Median $9.33 Typical High $10.96 | Professional | 52 · Reduced service | $9.33 | $9.33 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $4.37 | Professional | 53 · Discontinued | $3.72 | $3.72 | $4.37 |
Where New York sits
The same service costs 3.1 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· 30th of 51
$22.91
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.