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 $1.74 Median $3.39 Typical High $12.30 | Facility | None | $1.74 | $3.39 | $12.30 |
Aetna Setting Professional Modifier None Typical Low $1.74 Median $2.82 Typical High $3.98 | Professional | None | $1.74 | $2.82 | $3.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $10.47 | Facility | None | $3.98 | $3.98 | $10.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.58 Median $2.69 Typical High $8.13 | Professional | None | $1.58 | $2.69 | $8.13 |
CDPHP Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | None | $3.98 | $3.98 | $3.98 |
Cigna Setting Facility Modifier None Typical Low $3.89 Median $9.77 Typical High $35.48 | Facility | None | $3.89 | $9.77 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $1.95 Median $4.57 Typical High $19.50 | Professional | None | $1.95 | $4.57 | $19.50 |
Emblem Health Setting Facility Modifier None Typical Low $1.51 Median $3.98 Typical High $9.12 | Facility | None | $1.51 | $3.98 | $9.12 |
Emblem Health Setting Professional Modifier None Typical Low $1.86 Median $2.40 Typical High $7.76 | Professional | None | $1.86 | $2.40 | $7.76 |
Excellus BCBS Setting Professional Modifier None Typical Low $2.29 Median $3.80 Typical High $4.37 | Professional | None | $2.29 | $3.80 | $4.37 |
MVP Health Care Setting Facility Modifier None Typical Low $3.98 Median $13.80 Typical High $257.04 | Facility | None | $3.98 | $13.80 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $8.32 | Professional | None | $2.63 | $2.63 | $8.32 |
United Setting Facility Modifier None Typical Low $3.63 Median $3.98 Typical High $5.01 | Facility | None | $3.63 | $3.98 | $5.01 |
United Setting Professional Modifier None Typical Low $1.82 Median $2.40 Typical High $6.03 | Professional | None | $1.82 | $2.40 | $6.03 |
Univera Setting Facility Modifier None Typical Low $2.63 Median $4.57 Typical High $17.38 | Facility | None | $2.63 | $4.57 | $17.38 |
Univera Setting Professional Modifier None Typical Low $2.40 Median $3.80 Typical High $4.47 | Professional | None | $2.40 | $3.80 | $4.47 |
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 $0.87 Median $0.87 Typical High $1.70 | Professional | 52 · Reduced service | $0.87 | $0.87 | $1.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.35 Median $0.35 Typical High $0.68 | Professional | 53 · Discontinued | $0.35 | $0.35 | $0.68 |
Where New York sits
The same service costs 3.3 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· 40th of 51
$3.16
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.