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 $14.13 Median $17.78 Typical High $64.57 | Facility | None | $14.13 | $17.78 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $17.78 | Professional | None | $14.13 | $14.13 | $17.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $54.95 | Facility | None | $20.89 | $20.89 | $54.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $15.49 Typical High $51.29 | Professional | None | $9.33 | $15.49 | $51.29 |
CDPHP Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $50.12 Typical High $204.17 | Facility | None | $20.42 | $50.12 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $25.70 Typical High $100.00 | Professional | None | $14.13 | $25.70 | $100.00 |
Emblem Health Setting Facility Modifier None Typical Low $16.60 Median $25.12 Typical High $46.77 | Facility | None | $16.60 | $25.12 | $46.77 |
Emblem Health Setting Professional Modifier None Typical Low $9.77 Median $14.79 Typical High $40.74 | Professional | None | $9.77 | $14.79 | $40.74 |
Excellus BCBS Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Excellus BCBS Setting Professional Modifier None Typical Low $16.60 Median $20.89 Typical High $26.30 | Professional | None | $16.60 | $20.89 | $26.30 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $38.02 Typical High $257.04 | Facility | None | $13.80 | $38.02 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $42.66 | Professional | None | $15.14 | $15.14 | $42.66 |
United Setting Facility Modifier None Typical Low $19.05 Median $20.89 Typical High $26.30 | Facility | None | $19.05 | $20.89 | $26.30 |
United Setting Professional Modifier None Typical Low $8.71 Median $12.59 Typical High $31.62 | Professional | None | $8.71 | $12.59 | $31.62 |
Univera Setting Facility Modifier None Typical Low $13.80 Median $20.89 Typical High $47.86 | Facility | None | $13.80 | $20.89 | $47.86 |
Univera Setting Professional Modifier None Typical Low $13.80 Median $20.89 Typical High $26.92 | Professional | None | $13.80 | $20.89 | $26.92 |
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 $6.92 Median $6.92 Typical High $8.91 | Professional | 52 · Reduced service | $6.92 | $6.92 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $3.55 | Professional | 53 · Discontinued | $2.82 | $2.82 | $3.55 |
Where New York sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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· 25th of 51
$19.95
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.