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 $10.47 Median $20.89 Typical High $81.28 | Facility | None | $10.47 | $20.89 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $22.39 | Professional | None | $10.47 | $10.47 | $22.39 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $69.18 | Facility | None | $26.30 | $26.30 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $19.05 Typical High $56.23 | Professional | None | $13.18 | $19.05 | $56.23 |
CDPHP Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $57.54 Typical High $151.36 | Facility | None | $25.70 | $57.54 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $36.31 Typical High $177.83 | Professional | None | $18.62 | $36.31 | $177.83 |
Emblem Health Setting Facility Modifier None Typical Low $15.49 Median $26.30 Typical High $60.26 | Facility | None | $15.49 | $26.30 | $60.26 |
Emblem Health Setting Professional Modifier None Typical Low $12.59 Median $16.60 Typical High $51.29 | Professional | None | $12.59 | $16.60 | $51.29 |
Excellus BCBS Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Excellus BCBS Setting Professional Modifier None Typical Low $16.60 Median $26.30 Typical High $31.62 | Professional | None | $16.60 | $26.30 | $31.62 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $35.48 Typical High $257.04 | Facility | None | $13.80 | $35.48 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $54.95 | Professional | None | $21.38 | $21.38 | $54.95 |
United Setting Facility Modifier None Typical Low $23.99 Median $26.30 Typical High $104.71 | Facility | None | $23.99 | $26.30 | $104.71 |
United Setting Professional Modifier None Typical Low $11.22 Median $12.88 Typical High $39.81 | Professional | None | $11.22 | $12.88 | $39.81 |
Univera Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $89.13 | Facility | None | $16.60 | $16.60 | $89.13 |
Univera Setting Professional Modifier None Typical Low $16.60 Median $26.30 Typical High $36.31 | Professional | None | $16.60 | $26.30 | $36.31 |
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 $5.25 Median $5.25 Typical High $11.22 | Professional | 52 · Reduced service | $5.25 | $5.25 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.09 Typical High $4.47 | Professional | 53 · Discontinued | $2.09 | $2.09 | $4.47 |
Where New York sits
The same service costs 3.6 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· 39th of 51
$21.38
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.