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 $5.25 Median $10.47 Typical High $40.74 | Facility | None | $5.25 | $10.47 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $11.22 | Professional | None | $5.25 | $5.25 | $11.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $33.88 | Facility | None | $13.18 | $13.18 | $33.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.25 Median $7.94 Typical High $26.92 | Professional | None | $5.25 | $7.94 | $26.92 |
CDPHP Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | None | $13.18 | $13.18 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $33.88 Typical High $75.86 | Facility | None | $12.88 | $33.88 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $15.14 Typical High $63.10 | Professional | None | $6.17 | $15.14 | $63.10 |
Emblem Health Setting Facility Modifier None Typical Low $6.03 Median $13.18 Typical High $29.51 | Facility | None | $6.03 | $13.18 | $29.51 |
Emblem Health Setting Professional Modifier None Typical Low $6.17 Median $8.71 Typical High $25.70 | Professional | None | $6.17 | $8.71 | $25.70 |
Excellus BCBS Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | None | $8.91 | $8.91 | $8.91 |
Excellus BCBS Setting Professional Modifier None Typical Low $6.76 Median $10.72 Typical High $14.45 | Professional | None | $6.76 | $10.72 | $14.45 |
MVP Health Care Setting Facility Modifier None Typical Low $11.48 Median $19.95 Typical High $257.04 | Facility | None | $11.48 | $19.95 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $26.92 | Professional | None | $8.51 | $8.51 | $26.92 |
United Setting Facility Modifier None Typical Low $11.75 Median $13.18 Typical High $23.99 | Facility | None | $11.75 | $13.18 | $23.99 |
United Setting Professional Modifier None Typical Low $5.37 Median $5.89 Typical High $19.50 | Professional | None | $5.37 | $5.89 | $19.50 |
Univera Setting Facility Modifier None Typical Low $8.71 Median $8.91 Typical High $17.78 | Facility | None | $8.71 | $8.91 | $17.78 |
Univera Setting Professional Modifier None Typical Low $6.76 Median $10.72 Typical High $14.79 | Professional | None | $6.76 | $10.72 | $14.79 |
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 $2.63 Median $2.63 Typical High $5.62 | Professional | 52 · Reduced service | $2.63 | $2.63 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.05 Median $1.05 Typical High $2.24 | Professional | 53 · Discontinued | $1.05 | $1.05 | $2.24 |
Where New York sits
The same service costs 4.7 times more in Alaska 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· 49th of 51
$8.91
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.