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 $6.76 Median $8.32 Typical High $24.55 | Facility | None | $6.76 | $8.32 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $8.32 | Professional | None | $6.46 | $6.46 | $8.32 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $25.12 | Facility | None | $9.77 | $9.77 | $25.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.27 Median $7.59 Typical High $23.99 | Professional | None | $4.27 | $7.59 | $23.99 |
CDPHP Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $21.38 Typical High $95.50 | Facility | None | $9.55 | $21.38 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $12.30 Typical High $57.54 | Professional | None | $6.92 | $12.30 | $57.54 |
Emblem Health Setting Facility Modifier None Typical Low $9.12 Median $12.59 Typical High $21.88 | Facility | None | $9.12 | $12.59 | $21.88 |
Emblem Health Setting Professional Modifier None Typical Low $4.57 Median $6.92 Typical High $19.05 | Professional | None | $4.57 | $6.92 | $19.05 |
Excellus BCBS Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Facility | None | $9.77 | $9.77 | $9.77 |
Excellus BCBS Setting Professional Modifier None Typical Low $7.76 Median $9.77 Typical High $11.48 | Professional | None | $7.76 | $9.77 | $11.48 |
Highmark BCBS Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
MVP Health Care Setting Facility Modifier None Typical Low $10.96 Median $18.62 Typical High $257.04 | Facility | None | $10.96 | $18.62 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $19.95 | Professional | None | $7.08 | $7.08 | $19.95 |
United Setting Facility Modifier None Typical Low $8.71 Median $9.77 Typical High $12.30 | Facility | None | $8.71 | $9.77 | $12.30 |
United Setting Professional Modifier None Typical Low $4.07 Median $5.89 Typical High $14.79 | Professional | None | $4.07 | $5.89 | $14.79 |
Univera Setting Facility Modifier None Typical Low $6.46 Median $9.77 Typical High $22.39 | Facility | None | $6.46 | $9.77 | $22.39 |
Univera Setting Professional Modifier None Typical Low $6.46 Median $9.77 Typical High $12.59 | Professional | None | $6.46 | $9.77 | $12.59 |
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 $3.24 Median $3.24 Typical High $4.17 | Professional | 52 · Reduced service | $3.24 | $3.24 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.29 Typical High $1.66 | Professional | 53 · Discontinued | $1.29 | $1.29 | $1.66 |
Where New York sits
The same service costs 4.1 times more in Kansas than in Kentucky. 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
$9.33
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.