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 $3.72 Median $4.27 Typical High $12.59 | Facility | None | $3.72 | $4.27 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $4.27 Typical High $7.24 | Professional | None | $3.72 | $4.27 | $7.24 |
Ambetter Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.51 | Professional | None | $2.24 | $2.24 | $2.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $13.18 | Facility | None | $5.01 | $5.01 | $13.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.45 Median $3.98 Typical High $13.80 | Professional | None | $2.45 | $3.98 | $13.80 |
CDPHP Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | None | $5.01 | $5.01 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $4.90 Median $10.72 Typical High $54.95 | Facility | None | $4.90 | $10.72 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $3.55 Median $6.76 Typical High $28.18 | Professional | None | $3.55 | $6.76 | $28.18 |
Emblem Health Setting Facility Modifier None Typical Low $3.47 Median $5.62 Typical High $11.22 | Facility | None | $3.47 | $5.62 | $11.22 |
Emblem Health Setting Professional Modifier None Typical Low $2.95 Median $4.90 Typical High $6.61 | Professional | None | $2.95 | $4.90 | $6.61 |
Excellus BCBS Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Facility | None | $5.01 | $5.01 | $5.01 |
Excellus BCBS Setting Professional Modifier None Typical Low $3.63 Median $5.01 Typical High $6.03 | Professional | None | $3.63 | $5.01 | $6.03 |
Highmark BCBS Setting Facility Modifier None Typical Low $3.98 Median $12.59 Typical High $42.66 | Facility | None | $3.98 | $12.59 | $42.66 |
Highmark BCBS Setting Professional Modifier None Typical Low $3.02 Median $3.31 Typical High $3.80 | Professional | None | $3.02 | $3.31 | $3.80 |
MVP Health Care Setting Facility Modifier None Typical Low $6.31 Median $10.72 Typical High $257.04 | Facility | None | $6.31 | $10.72 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $10.23 | Professional | None | $3.98 | $3.98 | $10.23 |
United Setting Facility Modifier None Typical Low $1.58 Median $5.01 Typical High $6.31 | Facility | None | $1.58 | $5.01 | $6.31 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.02 Typical High $7.59 | Professional | None | $2.09 | $3.02 | $7.59 |
Univera Setting Facility Modifier None Typical Low $3.31 Median $5.01 Typical High $12.88 | Facility | None | $3.31 | $5.01 | $12.88 |
Univera Setting Professional Modifier None Typical Low $3.31 Median $5.01 Typical High $6.46 | Professional | None | $3.31 | $5.01 | $6.46 |
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 $1.86 Median $1.86 Typical High $2.14 | Professional | 52 · Reduced service | $1.86 | $1.86 | $2.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.74 Median $0.74 Typical High $0.85 | Professional | 53 · Discontinued | $0.74 | $0.74 | $0.85 |
Where New York sits
The same service costs 8.9 times more in Vermont than in Maryland. 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· 36th of 51
$4.90
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.