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 $14.13 Median $16.98 Typical High $44.67 | Facility | None | $14.13 | $16.98 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $16.60 | Professional | None | $13.49 | $13.49 | $16.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $46.77 | Facility | None | $18.20 | $18.20 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $14.45 Typical High $48.98 | Professional | None | $8.91 | $14.45 | $48.98 |
CDPHP Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $39.81 Typical High $194.98 | Facility | None | $17.78 | $39.81 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $21.88 Typical High $120.23 | Professional | None | $12.59 | $21.88 | $120.23 |
Emblem Health Setting Facility Modifier None Typical Low $15.85 Median $23.44 Typical High $40.74 | Facility | None | $15.85 | $23.44 | $40.74 |
Emblem Health Setting Professional Modifier None Typical Low $8.51 Median $10.96 Typical High $34.67 | Professional | None | $8.51 | $10.96 | $34.67 |
Excellus BCBS Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
Excellus BCBS Setting Professional Modifier None Typical Low $7.94 Median $16.98 Typical High $20.42 | Professional | None | $7.94 | $16.98 | $20.42 |
Highmark BCBS Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $23.44 Typical High $257.04 | Facility | None | $13.80 | $23.44 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $37.15 | Professional | None | $9.33 | $9.33 | $37.15 |
United Setting Facility Modifier None Typical Low $16.22 Median $18.20 Typical High $22.39 | Facility | None | $16.22 | $18.20 | $22.39 |
United Setting Professional Modifier None Typical Low $7.59 Median $11.75 Typical High $31.62 | Professional | None | $7.59 | $11.75 | $31.62 |
Univera Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $45.71 | Facility | None | $7.94 | $7.94 | $45.71 |
Univera Setting Professional Modifier None Typical Low $7.94 Median $17.38 Typical High $21.38 | Professional | None | $7.94 | $17.38 | $21.38 |
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 $6.76 Median $6.76 Typical High $7.76 | Professional | 52 · Reduced service | $6.76 | $6.76 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $3.09 | Professional | 53 · Discontinued | $2.69 | $2.69 | $3.09 |
Where New York sits
The same service costs 8.3 times more in Kansas than in Georgia. 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
$15.49
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.