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 $16.22 Typical High $54.95 | Facility | None | $12.59 | $16.22 | $54.95 |
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 $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 $8.71 Median $13.80 Typical High $46.77 | Professional | None | $8.71 | $13.80 | $46.77 |
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 $46.77 Typical High $186.21 | Facility | None | $17.78 | $46.77 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $25.70 Typical High $138.04 | Professional | None | $13.49 | $25.70 | $138.04 |
Emblem Health Setting Facility Modifier None Typical Low $11.22 Median $18.20 Typical High $40.74 | Facility | None | $11.22 | $18.20 | $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 Professional Modifier None Typical Low $10.23 Median $18.20 Typical High $19.95 | Professional | None | $10.23 | $18.20 | $19.95 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $32.36 Typical High $257.04 | Facility | None | $13.80 | $32.36 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $60.26 | Professional | None | $14.45 | $14.45 | $60.26 |
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 $10.96 Typical High $27.54 | Professional | None | $7.59 | $10.96 | $27.54 |
Univera Setting Facility Modifier None Typical Low $11.75 Median $20.89 Typical High $66.07 | Facility | None | $11.75 | $20.89 | $66.07 |
Univera Setting Professional Modifier None Typical Low $10.23 Median $18.20 Typical High $20.42 | Professional | None | $10.23 | $18.20 | $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 $6.31 Median $6.31 Typical High $7.76 | Professional | 52 · Reduced service | $6.31 | $6.31 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $3.09 | Professional | 53 · Discontinued | $2.51 | $2.51 | $3.09 |
Where New York sits
The same service costs 4.7 times more in Kansas than in Texas. 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· 38th 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.