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 $4.37 Median $6.46 Typical High $26.30 | Facility | None | $4.37 | $6.46 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $5.13 | Professional | None | $4.37 | $4.37 | $5.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.03 Median $6.03 Typical High $15.85 | Facility | None | $6.03 | $6.03 | $15.85 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.02 Median $4.68 Typical High $15.49 | Professional | None | $3.02 | $4.68 | $15.49 |
CDPHP Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $5.89 Median $13.49 Typical High $63.10 | Facility | None | $5.89 | $13.49 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $8.32 Typical High $41.69 | Professional | None | $4.27 | $8.32 | $41.69 |
Emblem Health Setting Facility Modifier None Typical Low $4.47 Median $7.24 Typical High $13.49 | Facility | None | $4.47 | $7.24 | $13.49 |
Emblem Health Setting Professional Modifier None Typical Low $2.82 Median $3.63 Typical High $11.75 | Professional | None | $2.82 | $3.63 | $11.75 |
Excellus BCBS Setting Facility Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Facility | None | $3.02 | $3.02 | $3.02 |
Excellus BCBS Setting Professional Modifier None Typical Low $3.02 Median $5.75 Typical High $6.76 | Professional | None | $3.02 | $5.75 | $6.76 |
Highmark BCBS Setting Facility Modifier None Typical Low $11.22 Median $13.18 Typical High $28.18 | Facility | None | $11.22 | $13.18 | $28.18 |
MVP Health Care Setting Facility Modifier None Typical Low $6.03 Median $12.02 Typical High $257.04 | Facility | None | $6.03 | $12.02 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $15.85 | Professional | None | $4.90 | $4.90 | $15.85 |
United Setting Facility Modifier None Typical Low $5.50 Median $6.03 Typical High $15.14 | Facility | None | $5.50 | $6.03 | $15.14 |
United Setting Professional Modifier None Typical Low $2.51 Median $3.80 Typical High $9.12 | Professional | None | $2.51 | $3.80 | $9.12 |
Univera Setting Facility Modifier None Typical Low $3.02 Median $3.02 Typical High $14.45 | Facility | None | $3.02 | $3.02 | $14.45 |
Univera Setting Professional Modifier None Typical Low $3.02 Median $5.75 Typical High $6.76 | Professional | None | $3.02 | $5.75 | $6.76 |
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 $2.14 Median $2.14 Typical High $2.57 | Professional | 52 · Reduced service | $2.14 | $2.14 | $2.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $0.85 Typical High $1.02 | Professional | 53 · Discontinued | $0.85 | $0.85 | $1.02 |
Where New York sits
The same service costs 4.6 times more in Kansas than in Maryland. 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· 39th of 51
$5.13
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.