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 $13.49 Median $34.67 Typical High $134.90 | Facility | None | $13.49 | $34.67 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $37.15 | Professional | None | $13.49 | $13.49 | $37.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $114.82 | Facility | None | $43.65 | $43.65 | $114.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.45 Median $22.91 Typical High $83.18 | Professional | None | $14.45 | $22.91 | $83.18 |
CDPHP Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $93.33 Typical High $194.98 | Facility | None | $42.66 | $93.33 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $42.66 Typical High $213.80 | Professional | None | $14.45 | $42.66 | $213.80 |
Emblem Health Setting Facility Modifier None Typical Low $13.18 Median $43.65 Typical High $100.00 | Facility | None | $13.18 | $43.65 | $100.00 |
Emblem Health Setting Professional Modifier None Typical Low $20.42 Median $26.30 Typical High $85.11 | Professional | None | $20.42 | $26.30 | $85.11 |
Excellus BCBS Setting Professional Modifier None Typical Low $17.38 Median $37.15 Typical High $48.98 | Professional | None | $17.38 | $37.15 | $48.98 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $79.43 Typical High $257.04 | Facility | None | $13.80 | $79.43 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $91.20 | Professional | None | $12.59 | $12.59 | $91.20 |
United Setting Facility Modifier None Typical Low $39.81 Median $43.65 Typical High $54.95 | Facility | None | $39.81 | $43.65 | $54.95 |
United Setting Professional Modifier None Typical Low $15.49 Median $19.95 Typical High $64.57 | Professional | None | $15.49 | $19.95 | $64.57 |
Univera Setting Facility Modifier None Typical Low $28.84 Median $45.71 Typical High $87.10 | Facility | None | $28.84 | $45.71 | $87.10 |
Univera Setting Professional Modifier None Typical Low $19.05 Median $37.15 Typical High $48.98 | Professional | None | $19.05 | $37.15 | $48.98 |
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 $6.76 Median $6.76 Typical High $18.62 | Professional | 52 · Reduced service | $6.76 | $6.76 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $7.41 | Professional | 53 · Discontinued | $2.69 | $2.69 | $7.41 |
Where New York sits
The same service costs 5.6 times more in Alaska than in Georgia. 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· 38th of 51
$28.84
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.