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 $10.72 Median $14.45 Typical High $51.29 | Facility | None | $10.72 | $14.45 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $19.50 | Professional | None | $10.72 | $10.72 | $19.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $43.65 | Facility | None | $16.98 | $16.98 | $43.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.32 Median $12.59 Typical High $40.74 | Professional | None | $8.32 | $12.59 | $40.74 |
CDPHP Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $37.15 Typical High $154.88 | Facility | None | $16.60 | $37.15 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $22.91 Typical High $109.65 | Professional | None | $11.75 | $22.91 | $109.65 |
Emblem Health Setting Facility Modifier None Typical Low $11.48 Median $18.62 Typical High $38.02 | Facility | None | $11.48 | $18.62 | $38.02 |
Emblem Health Setting Professional Modifier None Typical Low $7.94 Median $11.75 Typical High $32.36 | Professional | None | $7.94 | $11.75 | $32.36 |
Excellus BCBS Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Excellus BCBS Setting Professional Modifier None Typical Low $10.96 Median $16.22 Typical High $19.05 | Professional | None | $10.96 | $16.22 | $19.05 |
Highmark BCBS Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $30.20 Typical High $257.04 | Facility | None | $13.80 | $30.20 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $34.67 | Professional | None | $4.37 | $4.37 | $34.67 |
United Setting Facility Modifier None Typical Low $15.14 Median $16.98 Typical High $20.89 | Facility | None | $15.14 | $16.98 | $20.89 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.00 Typical High $25.12 | Professional | None | $7.08 | $10.00 | $25.12 |
Univera Setting Facility Modifier None Typical Low $10.96 Median $16.22 Typical High $40.74 | Facility | None | $10.96 | $16.22 | $40.74 |
Univera Setting Professional Modifier None Typical Low $10.96 Median $16.22 Typical High $20.42 | Professional | None | $10.96 | $16.22 | $20.42 |
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 $5.37 Median $5.37 Typical High $7.24 | Professional | 52 · Reduced service | $5.37 | $5.37 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.14 Typical High $2.88 | Professional | 53 · Discontinued | $2.14 | $2.14 | $2.88 |
Where New York sits
The same service costs 18.6 times more in Kansas than in Kentucky. 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· 35th of 51
$15.85
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.