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 $10.72 Median $17.38 Typical High $63.10 | Facility | None | $10.72 | $17.38 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $17.38 | Professional | None | $10.72 | $10.72 | $17.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $53.70 | Facility | None | $20.42 | $20.42 | $53.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.23 Median $15.85 Typical High $46.77 | Professional | None | $10.23 | $15.85 | $46.77 |
CDPHP Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $51.29 Typical High $154.88 | Facility | None | $19.95 | $51.29 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $28.18 Typical High $138.04 | Professional | None | $14.45 | $28.18 | $138.04 |
Emblem Health Setting Facility Modifier None Typical Low $13.18 Median $21.38 Typical High $46.77 | Facility | None | $13.18 | $21.38 | $46.77 |
Emblem Health Setting Professional Modifier None Typical Low $9.77 Median $12.30 Typical High $39.81 | Professional | None | $9.77 | $12.30 | $39.81 |
Excellus BCBS Setting Professional Modifier None Typical Low $13.49 Median $20.42 Typical High $28.84 | Professional | None | $13.49 | $20.42 | $28.84 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $37.15 Typical High $257.04 | Facility | None | $13.80 | $37.15 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $42.66 | Professional | None | $16.60 | $16.60 | $42.66 |
United Setting Facility Modifier None Typical Low $18.62 Median $20.42 Typical High $25.70 | Facility | None | $18.62 | $20.42 | $25.70 |
United Setting Professional Modifier None Typical Low $8.71 Median $11.48 Typical High $30.90 | Professional | None | $8.71 | $11.48 | $30.90 |
Univera Setting Facility Modifier None Typical Low $13.49 Median $23.99 Typical High $79.43 | Facility | None | $13.49 | $23.99 | $79.43 |
Univera Setting Professional Modifier None Typical Low $13.49 Median $20.42 Typical High $28.84 | Professional | None | $13.49 | $20.42 | $28.84 |
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 $5.37 Median $5.37 Typical High $8.71 | Professional | 52 · Reduced service | $5.37 | $5.37 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.14 Typical High $3.55 | Professional | 53 · Discontinued | $2.14 | $2.14 | $3.55 |
Where New York sits
The same service costs 3.6 times more in Alaska 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· 35th of 51
$17.38
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.