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 $12.02 Median $13.80 Typical High $40.74 | Facility | None | $12.02 | $13.80 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $13.80 Typical High $22.91 | Professional | None | $12.02 | $13.80 | $22.91 |
Ambetter Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | None | $7.41 | $7.41 | $7.41 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $42.66 | Facility | None | $16.22 | $16.22 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.13 Median $12.88 Typical High $43.65 | Professional | None | $8.13 | $12.88 | $43.65 |
CDPHP Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None | $16.22 | $16.22 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $35.48 Typical High $177.83 | Facility | None | $15.85 | $35.48 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $21.88 Typical High $107.15 | Professional | None | $11.48 | $21.88 | $107.15 |
Emblem Health Setting Facility Modifier None Typical Low $11.48 Median $19.05 Typical High $36.31 | Facility | None | $11.48 | $19.05 | $36.31 |
Emblem Health Setting Professional Modifier None Typical Low $7.59 Median $11.48 Typical High $31.62 | Professional | None | $7.59 | $11.48 | $31.62 |
Excellus BCBS Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Excellus BCBS Setting Professional Modifier None Typical Low $13.80 Median $16.22 Typical High $19.50 | Professional | None | $13.80 | $16.22 | $19.50 |
Highmark BCBS Setting Facility Modifier None Typical Low $13.80 Median $31.62 Typical High $100.00 | Facility | None | $13.80 | $31.62 | $100.00 |
Highmark BCBS Setting Professional Modifier None Typical Low $9.77 Median $10.96 Typical High $10.96 | Professional | None | $9.77 | $10.96 | $10.96 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $29.51 Typical High $257.04 | Facility | None | $13.80 | $29.51 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $46.77 | Professional | None | $13.18 | $13.18 | $46.77 |
United Setting Facility Modifier None Typical Low $14.79 Median $16.22 Typical High $104.71 | Facility | None | $14.79 | $16.22 | $104.71 |
United Setting Professional Modifier None Typical Low $6.92 Median $10.72 Typical High $24.55 | Professional | None | $6.92 | $10.72 | $24.55 |
Univera Setting Facility Modifier None Typical Low $10.72 Median $16.22 Typical High $39.81 | Facility | None | $10.72 | $16.22 | $39.81 |
Univera Setting Professional Modifier None Typical Low $10.72 Median $16.22 Typical High $20.89 | Professional | None | $10.72 | $16.22 | $20.89 |
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 $6.03 Median $6.03 Typical High $6.92 | Professional | 52 · Reduced service | $6.03 | $6.03 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.40 Typical High $2.75 | Professional | 53 · Discontinued | $2.40 | $2.40 | $2.75 |
Where New York sits
The same service costs 8.5 times more in Vermont than in Maryland. 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
$16.22
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.