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 $13.18 Median $16.98 Typical High $53.70 | Facility | None | $13.18 | $16.98 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $15.14 | Professional | None | $13.18 | $13.18 | $15.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $45.71 | Facility | None | $17.78 | $17.78 | $45.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.71 Median $14.13 Typical High $47.86 | Professional | None | $8.71 | $14.13 | $47.86 |
CDPHP Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $45.71 Typical High $190.55 | Facility | None | $17.38 | $45.71 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $23.99 Typical High $117.49 | Professional | None | $12.30 | $23.99 | $117.49 |
Emblem Health Setting Facility Modifier None Typical Low $14.45 Median $21.88 Typical High $39.81 | Facility | None | $14.45 | $21.88 | $39.81 |
Emblem Health Setting Professional Modifier None Typical Low $8.32 Median $12.30 Typical High $34.67 | Professional | None | $8.32 | $12.30 | $34.67 |
Excellus BCBS Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Excellus BCBS Setting Professional Modifier None Typical Low $15.14 Median $17.78 Typical High $21.38 | Professional | None | $15.14 | $17.78 | $21.38 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $31.62 Typical High $257.04 | Facility | None | $13.80 | $31.62 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $50.12 | Professional | None | $14.13 | $14.13 | $50.12 |
United Setting Facility Modifier None Typical Low $15.85 Median $17.78 Typical High $21.88 | Facility | None | $15.85 | $17.78 | $21.88 |
United Setting Professional Modifier None Typical Low $7.41 Median $11.48 Typical High $28.84 | Professional | None | $7.41 | $11.48 | $28.84 |
Univera Setting Facility Modifier None Typical Low $11.48 Median $17.78 Typical High $44.67 | Facility | None | $11.48 | $17.78 | $44.67 |
Univera Setting Professional Modifier None Typical Low $11.48 Median $17.78 Typical High $22.91 | Professional | None | $11.48 | $17.78 | $22.91 |
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 $6.61 Median $6.61 Typical High $7.59 | Professional | 52 · Reduced service | $6.61 | $6.61 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.63 Typical High $3.02 | Professional | 53 · Discontinued | $2.63 | $2.63 | $3.02 |
Where New York sits
The same service costs 3.6 times more in Kansas than in Oklahoma. 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· 28th of 51
$17.78
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.