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 $2.57 Median $6.92 Typical High $22.39 | Facility | None | $2.57 | $6.92 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $7.59 | Professional | None | $2.57 | $2.57 | $7.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $22.91 | Facility | None | $8.71 | $8.71 | $22.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.07 Median $5.75 Typical High $17.78 | Professional | None | $4.07 | $5.75 | $17.78 |
CDPHP Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | None | $8.71 | $8.71 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $18.62 Typical High $38.02 | Facility | None | $8.51 | $18.62 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $11.22 Typical High $54.95 | Professional | None | $6.03 | $11.22 | $54.95 |
Emblem Health Setting Facility Modifier None Typical Low $7.59 Median $11.22 Typical High $19.95 | Facility | None | $7.59 | $11.22 | $19.95 |
Emblem Health Setting Professional Modifier None Typical Low $4.17 Median $5.25 Typical High $16.98 | Professional | None | $4.17 | $5.25 | $16.98 |
Excellus BCBS Setting Professional Modifier None Typical Low $5.75 Median $8.71 Typical High $11.48 | Professional | None | $5.75 | $8.71 | $11.48 |
MVP Health Care Setting Facility Modifier None Typical Low $10.23 Median $16.60 Typical High $257.04 | Facility | None | $10.23 | $16.60 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $19.95 | Professional | None | $5.25 | $5.25 | $19.95 |
United Setting Facility Modifier None Typical Low $7.94 Median $8.71 Typical High $23.99 | Facility | None | $7.94 | $8.71 | $23.99 |
United Setting Professional Modifier None Typical Low $3.72 Median $5.25 Typical High $13.49 | Professional | None | $3.72 | $5.25 | $13.49 |
Univera Setting Facility Modifier None Typical Low $5.75 Median $10.00 Typical High $30.90 | Facility | None | $5.75 | $10.00 | $30.90 |
Univera Setting Professional Modifier None Typical Low $5.75 Median $8.71 Typical High $11.48 | Professional | None | $5.75 | $8.71 | $11.48 |
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 $1.29 Median $1.29 Typical High $3.72 | Professional | 52 · Reduced service | $1.29 | $1.29 | $3.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.52 Median $0.52 Typical High $1.51 | Professional | 53 · Discontinued | $0.52 | $0.52 | $1.51 |
Where New York sits
The same service costs 3.5 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· 33rd of 51
$7.41
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.