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 $17.38 Median $22.39 Typical High $81.28 | Facility | None | $17.38 | $22.39 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $22.39 | Professional | None | $17.38 | $17.38 | $22.39 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $67.61 | Facility | None | $26.30 | $26.30 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.75 Median $19.05 Typical High $64.57 | Professional | None | $11.75 | $19.05 | $64.57 |
CDPHP Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $56.23 Typical High $257.04 | Facility | None | $25.70 | $56.23 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $32.36 Typical High $154.88 | Professional | None | $17.38 | $32.36 | $154.88 |
Emblem Health Setting Facility Modifier None Typical Low $17.78 Median $28.18 Typical High $58.88 | Facility | None | $17.78 | $28.18 | $58.88 |
Emblem Health Setting Professional Modifier None Typical Low $12.30 Median $15.85 Typical High $51.29 | Professional | None | $12.30 | $15.85 | $51.29 |
Excellus BCBS Setting Professional Modifier None Typical Low $17.38 Median $26.30 Typical High $28.84 | Professional | None | $17.38 | $26.30 | $28.84 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $46.77 Typical High $257.04 | Facility | None | $13.80 | $46.77 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $53.70 | Professional | None | $18.20 | $18.20 | $53.70 |
United Setting Facility Modifier None Typical Low $23.44 Median $26.30 Typical High $33.11 | Facility | None | $23.44 | $26.30 | $33.11 |
United Setting Professional Modifier None Typical Low $10.96 Median $15.85 Typical High $39.81 | Professional | None | $10.96 | $15.85 | $39.81 |
Univera Setting Facility Modifier None Typical Low $17.38 Median $30.20 Typical High $89.13 | Facility | None | $17.38 | $30.20 | $89.13 |
Univera Setting Professional Modifier None Typical Low $17.38 Median $26.30 Typical High $30.20 | Professional | None | $17.38 | $26.30 | $30.20 |
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 $8.71 Median $8.71 Typical High $11.22 | Professional | 52 · Reduced service | $8.71 | $8.71 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $4.47 | Professional | 53 · Discontinued | $3.47 | $3.47 | $4.47 |
Where New York sits
The same service costs 3.7 times more in Alaska than in Texas. 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· 30th 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.