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 $16.60 Median $19.05 Typical High $56.23 | Facility | None | $16.60 | $19.05 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $17.38 Typical High $29.51 | Professional | None | $16.60 | $17.38 | $29.51 |
Ambetter Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $57.54 | Facility | None | $22.39 | $22.39 | $57.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $17.78 Typical High $60.26 | Professional | None | $10.96 | $17.78 | $60.26 |
CDPHP Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $48.98 Typical High $239.88 | Facility | None | $21.88 | $48.98 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $30.20 Typical High $147.91 | Professional | None | $15.49 | $30.20 | $147.91 |
Emblem Health Setting Facility Modifier None Typical Low $11.48 Median $22.39 Typical High $50.12 | Facility | None | $11.48 | $22.39 | $50.12 |
Emblem Health Setting Professional Modifier None Typical Low $10.47 Median $15.49 Typical High $42.66 | Professional | None | $10.47 | $15.49 | $42.66 |
Excellus BCBS Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Excellus BCBS Setting Professional Modifier None Typical Low $19.05 Median $22.39 Typical High $29.51 | Professional | None | $19.05 | $22.39 | $29.51 |
Highmark BCBS Setting Facility Modifier None Typical Low $17.78 Median $37.15 Typical High $109.65 | Facility | None | $17.78 | $37.15 | $109.65 |
Highmark BCBS Setting Professional Modifier None Typical Low $13.49 Median $14.79 Typical High $14.79 | Professional | None | $13.49 | $14.79 | $14.79 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $39.81 Typical High $257.04 | Facility | None | $13.80 | $39.81 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $45.71 | Professional | None | $17.78 | $17.78 | $45.71 |
United Setting Facility Modifier None Typical Low $19.95 Median $22.39 Typical High $27.54 | Facility | None | $19.95 | $22.39 | $27.54 |
United Setting Professional Modifier None Typical Low $9.33 Median $13.49 Typical High $34.67 | Professional | None | $9.33 | $13.49 | $34.67 |
Univera Setting Facility Modifier None Typical Low $14.45 Median $22.39 Typical High $56.23 | Facility | None | $14.45 | $22.39 | $56.23 |
Univera Setting Professional Modifier None Typical Low $14.45 Median $22.39 Typical High $37.15 | Professional | None | $14.45 | $22.39 | $37.15 |
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 $8.32 Median $8.32 Typical High $9.33 | Professional | 52 · Reduced service | $8.32 | $8.32 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $3.80 | Professional | 53 · Discontinued | $3.31 | $3.31 | $3.80 |
Where New York sits
The same service costs 13.5 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· 31st of 51
$22.39
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.