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 $7.94 Median $12.02 Typical High $35.48 | Facility | None | $7.94 | $12.02 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $10.96 Typical High $18.62 | Professional | None | $7.94 | $10.96 | $18.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $36.31 | Facility | None | $14.13 | $14.13 | $36.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.92 Median $14.13 Typical High $33.11 | Professional | None | $6.92 | $14.13 | $33.11 |
CDPHP Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $30.90 Typical High $114.82 | Facility | None | $13.80 | $30.90 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $19.05 Typical High $95.50 | Professional | None | $10.00 | $19.05 | $95.50 |
Emblem Health Setting Facility Modifier None Typical Low $7.08 Median $14.13 Typical High $31.62 | Facility | None | $7.08 | $14.13 | $31.62 |
Emblem Health Setting Professional Modifier None Typical Low $6.61 Median $8.51 Typical High $27.54 | Professional | None | $6.61 | $8.51 | $27.54 |
Excellus BCBS Setting Professional Modifier None Typical Low $9.33 Median $13.49 Typical High $15.49 | Professional | None | $9.33 | $13.49 | $15.49 |
Highmark BCBS Setting Facility Modifier None Typical Low $11.48 Median $30.20 Typical High $66.07 | Facility | None | $11.48 | $30.20 | $66.07 |
Highmark BCBS Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $10.47 | Professional | None | $9.33 | $9.33 | $10.47 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $25.70 Typical High $257.04 | Facility | None | $13.80 | $25.70 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $39.81 | Professional | None | $11.22 | $11.22 | $39.81 |
United Setting Facility Modifier None Typical Low $12.59 Median $14.13 Typical High $17.78 | Facility | None | $12.59 | $14.13 | $17.78 |
United Setting Professional Modifier None Typical Low $5.89 Median $8.13 Typical High $21.38 | Professional | None | $5.89 | $8.13 | $21.38 |
Univera Setting Facility Modifier None Typical Low $9.33 Median $16.22 Typical High $40.74 | Facility | None | $9.33 | $16.22 | $40.74 |
Univera Setting Professional Modifier None Typical Low $9.33 Median $13.49 Typical High $15.85 | Professional | None | $9.33 | $13.49 | $15.85 |
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 $3.98 Median $3.98 Typical High $6.03 | Professional | 52 · Reduced service | $3.98 | $3.98 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.58 Typical High $2.40 | Professional | 53 · Discontinued | $1.58 | $1.58 | $2.40 |
Where New York sits
The same service costs 7.4 times more in Vermont than in Nebraska. 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· 36th of 51
$13.18
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.