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 $9.55 Median $14.45 Typical High $45.71 | Facility | None | $9.55 | $14.45 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $11.75 | Professional | None | $9.55 | $9.55 | $11.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $33.11 | Facility | None | $12.88 | $12.88 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.31 Median $10.23 Typical High $35.48 | Professional | None | $6.31 | $10.23 | $35.48 |
CDPHP Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $28.18 Typical High $138.04 | Facility | None | $12.59 | $28.18 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $17.38 Typical High $77.62 | Professional | None | $8.91 | $17.38 | $77.62 |
Emblem Health Setting Facility Modifier None Typical Low $9.55 Median $15.49 Typical High $28.84 | Facility | None | $9.55 | $15.49 | $28.84 |
Emblem Health Setting Professional Modifier None Typical Low $6.03 Median $8.91 Typical High $25.12 | Professional | None | $6.03 | $8.91 | $25.12 |
Excellus BCBS Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | None | $12.88 | $12.88 | $12.88 |
Excellus BCBS Setting Professional Modifier None Typical Low $10.96 Median $12.88 Typical High $16.98 | Professional | None | $10.96 | $12.88 | $16.98 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $22.91 Typical High $257.04 | Facility | None | $13.80 | $22.91 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $33.88 | Professional | None | $10.23 | $10.23 | $33.88 |
United Setting Facility Modifier None Typical Low $11.48 Median $12.88 Typical High $44.67 | Facility | None | $11.48 | $12.88 | $44.67 |
United Setting Professional Modifier None Typical Low $5.37 Median $8.32 Typical High $19.50 | Professional | None | $5.37 | $8.32 | $19.50 |
Univera Setting Facility Modifier None Typical Low $8.51 Median $12.88 Typical High $32.36 | Facility | None | $8.51 | $12.88 | $32.36 |
Univera Setting Professional Modifier None Typical Low $8.51 Median $12.88 Typical High $18.20 | Professional | None | $8.51 | $12.88 | $18.20 |
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 $4.79 Median $4.79 Typical High $5.50 | Professional | 52 · Reduced service | $4.79 | $4.79 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $1.91 Typical High $2.19 | Professional | 53 · Discontinued | $1.91 | $1.91 | $2.19 |
Where New York sits
The same service costs 3.2 times more in Kansas 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· 30th of 51
$12.59
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.