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 $16.22 Median $34.67 Typical High $134.90 | Facility | None | $16.22 | $34.67 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $38.02 | Professional | None | $16.22 | $16.22 | $38.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $114.82 | Facility | None | $44.67 | $44.67 | $114.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.78 Median $32.36 Typical High $89.13 | Professional | None | $17.78 | $32.36 | $89.13 |
CDPHP Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $95.50 Typical High $125.89 | Facility | None | $42.66 | $95.50 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $41.69 Typical High $213.80 | Professional | None | $10.23 | $41.69 | $213.80 |
Emblem Health Setting Facility Modifier None Typical Low $10.00 Median $44.67 Typical High $100.00 | Facility | None | $10.00 | $44.67 | $100.00 |
Emblem Health Setting Professional Modifier None Typical Low $20.89 Median $26.30 Typical High $85.11 | Professional | None | $20.89 | $26.30 | $85.11 |
Excellus BCBS Setting Professional Modifier None Typical Low $11.22 Median $38.02 Typical High $48.98 | Professional | None | $11.22 | $38.02 | $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 $12.02 Median $13.80 Typical High $91.20 | Professional | None | $12.02 | $13.80 | $91.20 |
United Setting Facility Modifier None Typical Low $39.81 Median $44.67 Typical High $54.95 | Facility | None | $39.81 | $44.67 | $54.95 |
United Setting Professional Modifier None Typical Low $10.96 Median $19.95 Typical High $66.07 | Professional | None | $10.96 | $19.95 | $66.07 |
Univera Setting Facility Modifier None Typical Low $28.18 Median $28.84 Typical High $51.29 | Facility | None | $28.18 | $28.84 | $51.29 |
Univera Setting Professional Modifier None Typical Low $11.22 Median $28.84 Typical High $48.98 | Professional | None | $11.22 | $28.84 | $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 $8.13 Median $8.13 Typical High $18.62 | Professional | 52 · Reduced service | $8.13 | $8.13 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $7.59 | Professional | 53 · Discontinued | $3.24 | $3.24 | $7.59 |
Where New York sits
The same service costs 5.4 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· 31st of 51
$30.20
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.