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 $9.12 Median $11.75 Typical High $37.15 | Facility | None | $9.12 | $11.75 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $11.22 | Professional | None | $9.12 | $9.12 | $11.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $31.62 | Facility | None | $12.30 | $12.30 | $31.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.03 Median $9.77 Typical High $33.11 | Professional | None | $6.03 | $9.77 | $33.11 |
CDPHP Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $26.92 Typical High $131.83 | Facility | None | $12.02 | $26.92 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $16.60 Typical High $81.28 | Professional | None | $8.51 | $16.60 | $81.28 |
Emblem Health Setting Facility Modifier None Typical Low $7.59 Median $12.30 Typical High $27.54 | Facility | None | $7.59 | $12.30 | $27.54 |
Emblem Health Setting Professional Modifier None Typical Low $5.75 Median $7.41 Typical High $23.99 | Professional | None | $5.75 | $7.41 | $23.99 |
Excellus BCBS Setting Professional Modifier None Typical Low $7.94 Median $12.30 Typical High $13.80 | Professional | None | $7.94 | $12.30 | $13.80 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $21.88 Typical High $257.04 | Facility | None | $13.80 | $21.88 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $26.30 | Professional | None | $9.77 | $9.77 | $26.30 |
United Setting Facility Modifier None Typical Low $10.96 Median $12.30 Typical High $34.67 | Facility | None | $10.96 | $12.30 | $34.67 |
United Setting Professional Modifier None Typical Low $5.13 Median $7.41 Typical High $18.20 | Professional | None | $5.13 | $7.41 | $18.20 |
Univera Setting Facility Modifier None Typical Low $7.94 Median $14.13 Typical High $46.77 | Facility | None | $7.94 | $14.13 | $46.77 |
Univera Setting Professional Modifier None Typical Low $7.94 Median $12.30 Typical High $14.45 | Professional | None | $7.94 | $12.30 | $14.45 |
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 $4.57 Median $4.57 Typical High $5.25 | Professional | 52 · Reduced service | $4.57 | $4.57 | $5.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $1.82 Typical High $2.09 | Professional | 53 · Discontinued | $1.82 | $1.82 | $2.09 |
Where New York sits
The same service costs 3.2 times more in Kansas 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· 34th of 51
$10.96
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.