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 $12.59 Median $24.55 Typical High $89.13 | Facility | None | $12.59 | $24.55 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $24.55 | Professional | None | $12.59 | $12.59 | $24.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $75.86 | Facility | None | $28.84 | $28.84 | $75.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.30 Median $18.62 Typical High $58.88 | Professional | None | $12.30 | $18.62 | $58.88 |
CDPHP Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $61.66 Typical High $186.21 | Facility | None | $28.18 | $61.66 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $33.88 Typical High $165.96 | Professional | None | $18.62 | $33.88 | $165.96 |
Emblem Health Setting Facility Modifier None Typical Low $19.95 Median $32.36 Typical High $66.07 | Facility | None | $19.95 | $32.36 | $66.07 |
Emblem Health Setting Professional Modifier None Typical Low $13.80 Median $18.62 Typical High $56.23 | Professional | None | $13.80 | $18.62 | $56.23 |
Excellus BCBS Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Excellus BCBS Setting Professional Modifier None Typical Low $17.78 Median $23.99 Typical High $32.36 | Professional | None | $17.78 | $23.99 | $32.36 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $39.81 Typical High $257.04 | Facility | None | $13.80 | $39.81 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $60.26 | Professional | None | $19.95 | $19.95 | $60.26 |
United Setting Facility Modifier None Typical Low $26.30 Median $28.84 Typical High $36.31 | Facility | None | $26.30 | $28.84 | $36.31 |
United Setting Professional Modifier None Typical Low $12.30 Median $14.45 Typical High $43.65 | Professional | None | $12.30 | $14.45 | $43.65 |
Univera Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $50.12 | Facility | None | $18.62 | $18.62 | $50.12 |
Univera Setting Professional Modifier None Typical Low $17.78 Median $23.99 Typical High $32.36 | Professional | None | $17.78 | $23.99 | $32.36 |
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 $6.31 Median $6.31 Typical High $12.30 | Professional | 52 · Reduced service | $6.31 | $6.31 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $4.90 | Professional | 53 · Discontinued | $2.51 | $2.51 | $4.90 |
Where New York sits
The same service costs 3.5 times more in Alaska than in Alabama. 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· 49th of 51
$21.38
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.