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 $11.22 Median $15.14 Typical High $54.95 | Facility | None | $11.22 | $15.14 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $15.14 | Professional | None | $11.22 | $11.22 | $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 $7.41 Median $13.18 Typical High $42.66 | Professional | None | $7.41 | $13.18 | $42.66 |
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 $162.18 | Facility | None | $17.38 | $45.71 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $20.42 Typical High $85.11 | Professional | None | $11.22 | $20.42 | $85.11 |
Emblem Health Setting Facility Modifier None Typical Low $10.00 Median $20.42 Typical High $39.81 | Facility | None | $10.00 | $20.42 | $39.81 |
Emblem Health Setting Professional Modifier None Typical Low $8.32 Median $10.72 Typical High $34.67 | Professional | None | $8.32 | $10.72 | $34.67 |
Excellus BCBS Setting Professional Modifier None Typical Low $11.75 Median $17.78 Typical High $22.91 | Professional | None | $11.75 | $17.78 | $22.91 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $32.36 Typical High $257.04 | Facility | None | $13.80 | $32.36 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $36.31 | Professional | None | $12.02 | $12.02 | $36.31 |
United Setting Facility Modifier None Typical Low $15.85 Median $17.78 Typical High $22.39 | Facility | None | $15.85 | $17.78 | $22.39 |
United Setting Professional Modifier None Typical Low $7.41 Median $10.72 Typical High $26.92 | Professional | None | $7.41 | $10.72 | $26.92 |
Univera Setting Facility Modifier None Typical Low $11.75 Median $20.42 Typical High $61.66 | Facility | None | $11.75 | $20.42 | $61.66 |
Univera Setting Professional Modifier None Typical Low $11.75 Median $17.78 Typical High $22.91 | Professional | None | $11.75 | $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 $5.62 Median $5.62 Typical High $7.59 | Professional | 52 · Reduced service | $5.62 | $5.62 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.24 Typical High $3.02 | Professional | 53 · Discontinued | $2.24 | $2.24 | $3.02 |
Where New York sits
The same service costs 3.8 times more in Kansas 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· 32nd of 51
$15.14
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.