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 $4.57 Median $9.33 Typical High $36.31 | Facility | None | $4.57 | $9.33 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $10.00 | Professional | None | $4.57 | $4.57 | $10.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $30.90 | Facility | None | $11.75 | $11.75 | $30.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.50 Median $7.24 Typical High $23.99 | Professional | None | $5.50 | $7.24 | $23.99 |
CDPHP Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $30.20 Typical High $66.07 | Facility | None | $11.48 | $30.20 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $16.22 Typical High $79.43 | Professional | None | $8.32 | $16.22 | $79.43 |
Emblem Health Setting Facility Modifier None Typical Low $6.03 Median $11.75 Typical High $26.92 | Facility | None | $6.03 | $11.75 | $26.92 |
Emblem Health Setting Professional Modifier None Typical Low $5.62 Median $7.08 Typical High $22.91 | Professional | None | $5.62 | $7.08 | $22.91 |
Excellus BCBS Setting Professional Modifier None Typical Low $6.76 Median $11.22 Typical High $13.18 | Professional | None | $6.76 | $11.22 | $13.18 |
MVP Health Care Setting Facility Modifier None Typical Low $11.75 Median $21.38 Typical High $257.04 | Facility | None | $11.75 | $21.38 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $30.20 | Professional | None | $9.55 | $9.55 | $30.20 |
United Setting Facility Modifier None Typical Low $10.72 Median $11.75 Typical High $14.79 | Facility | None | $10.72 | $11.75 | $14.79 |
United Setting Professional Modifier None Typical Low $5.01 Median $5.89 Typical High $17.78 | Professional | None | $5.01 | $5.89 | $17.78 |
Univera Setting Facility Modifier None Typical Low $7.76 Median $13.80 Typical High $48.98 | Facility | None | $7.76 | $13.80 | $48.98 |
Univera Setting Professional Modifier None Typical Low $6.76 Median $11.22 Typical High $13.18 | Professional | None | $6.76 | $11.22 | $13.18 |
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 $2.29 Median $2.29 Typical High $5.01 | Professional | 52 · Reduced service | $2.29 | $2.29 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.91 Median $0.91 Typical High $2.04 | Professional | 53 · Discontinued | $0.91 | $0.91 | $2.04 |
Where New York sits
The same service costs 4.1 times more in Kansas than in Oklahoma. 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· 47th of 51
$9.55
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.