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 $23.99 Typical High $69.18 | Facility | None | $16.60 | $23.99 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $25.12 | Professional | None | $15.14 | $15.14 | $25.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $72.44 | Facility | None | $28.18 | $28.18 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $22.39 Typical High $63.10 | Professional | None | $11.22 | $22.39 | $63.10 |
CDPHP Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $60.26 Typical High $72.44 | Facility | None | $25.12 | $60.26 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $34.67 Typical High $134.90 | Professional | None | $15.85 | $34.67 | $134.90 |
Emblem Health Setting Facility Modifier None Typical Low $23.44 Median $35.48 Typical High $63.10 | Facility | None | $23.44 | $35.48 | $63.10 |
Emblem Health Setting Professional Modifier None Typical Low $13.18 Median $16.60 Typical High $53.70 | Professional | None | $13.18 | $16.60 | $53.70 |
Excellus BCBS Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Excellus BCBS Setting Professional Modifier None Typical Low $17.38 Median $28.18 Typical High $31.62 | Professional | None | $17.38 | $28.18 | $31.62 |
Highmark BCBS Setting Facility Modifier None Typical Low $25.12 Median $36.31 Typical High $128.82 | Facility | None | $25.12 | $36.31 | $128.82 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $52.48 Typical High $257.04 | Facility | None | $13.80 | $52.48 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $57.54 | Professional | None | $18.20 | $18.20 | $57.54 |
United Setting Facility Modifier None Typical Low $25.12 Median $28.18 Typical High $34.67 | Facility | None | $25.12 | $28.18 | $34.67 |
United Setting Professional Modifier None Typical Low $11.75 Median $16.60 Typical High $41.69 | Professional | None | $11.75 | $16.60 | $41.69 |
Univera Setting Facility Modifier None Typical Low $18.20 Median $28.18 Typical High $34.67 | Facility | None | $18.20 | $28.18 | $34.67 |
Univera Setting Professional Modifier None Typical Low $18.20 Median $28.18 Typical High $36.31 | Professional | None | $18.20 | $28.18 | $36.31 |
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 $7.59 Median $7.59 Typical High $11.75 | Professional | 52 · Reduced service | $7.59 | $7.59 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.02 Typical High $4.79 | Professional | 53 · Discontinued | $3.02 | $3.02 | $4.79 |
Where New York sits
The same service costs 3.8 times more in Alaska than in Nebraska. 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· 26th of 51
$25.70
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.