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 $9.12 Median $11.75 Typical High $38.02 | Facility | None | $9.12 | $11.75 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $10.72 | Professional | None | $9.12 | $9.12 | $10.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $32.36 | Facility | None | $12.59 | $12.59 | $32.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.17 Median $10.00 Typical High $33.88 | Professional | None | $6.17 | $10.00 | $33.88 |
CDPHP Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | None | $12.59 | $12.59 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $32.36 Typical High $131.83 | Facility | None | $12.30 | $32.36 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $16.98 Typical High $77.62 | Professional | None | $8.71 | $16.98 | $77.62 |
Emblem Health Setting Facility Modifier None Typical Low $7.08 Median $12.59 Typical High $28.18 | Facility | None | $7.08 | $12.59 | $28.18 |
Emblem Health Setting Professional Modifier None Typical Low $5.89 Median $8.71 Typical High $24.55 | Professional | None | $5.89 | $8.71 | $24.55 |
Excellus BCBS Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Excellus BCBS Setting Professional Modifier None Typical Low $10.72 Median $12.59 Typical High $16.60 | Professional | None | $10.72 | $12.59 | $16.60 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $22.39 Typical High $257.04 | Facility | None | $13.80 | $22.39 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $25.70 | Professional | None | $10.00 | $10.00 | $25.70 |
United Setting Facility Modifier None Typical Low $11.22 Median $12.59 Typical High $44.67 | Facility | None | $11.22 | $12.59 | $44.67 |
United Setting Professional Modifier None Typical Low $5.25 Median $8.13 Typical High $18.62 | Professional | None | $5.25 | $8.13 | $18.62 |
Univera Setting Facility Modifier None Typical Low $8.13 Median $12.59 Typical High $31.62 | Facility | None | $8.13 | $12.59 | $31.62 |
Univera Setting Professional Modifier None Typical Low $8.13 Median $12.59 Typical High $19.05 | Professional | None | $8.13 | $12.59 | $19.05 |
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 $4.57 Median $4.57 Typical High $5.37 | Professional | 52 · Reduced service | $4.57 | $4.57 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $1.82 Typical High $2.14 | Professional | 53 · Discontinued | $1.82 | $1.82 | $2.14 |
Where New York sits
The same service costs 4.2 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· 31st of 51
$12.02
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.