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 $7.76 Typical High $28.84 | Facility | None | $2.57 | $7.76 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $8.13 | Professional | None | $2.57 | $2.57 | $8.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $24.55 | Facility | None | $9.55 | $9.55 | $24.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.17 Median $5.75 Typical High $19.50 | Professional | None | $4.17 | $5.75 | $19.50 |
CDPHP Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | None | $9.55 | $9.55 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $19.95 Typical High $38.02 | Facility | None | $9.33 | $19.95 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $11.48 Typical High $54.95 | Professional | None | $6.31 | $11.48 | $54.95 |
Emblem Health Setting Facility Modifier None Typical Low $7.08 Median $11.22 Typical High $21.38 | Facility | None | $7.08 | $11.22 | $21.38 |
Emblem Health Setting Professional Modifier None Typical Low $4.47 Median $5.62 Typical High $18.20 | Professional | None | $4.47 | $5.62 | $18.20 |
Excellus BCBS Setting Professional Modifier None Typical Low $6.17 Median $9.55 Typical High $11.75 | Professional | None | $6.17 | $9.55 | $11.75 |
MVP Health Care Setting Facility Modifier None Typical Low $10.47 Median $17.78 Typical High $257.04 | Facility | None | $10.47 | $17.78 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $21.88 | Professional | None | $5.25 | $5.25 | $21.88 |
United Setting Facility Modifier None Typical Low $8.51 Median $9.55 Typical High $11.75 | Facility | None | $8.51 | $9.55 | $11.75 |
United Setting Professional Modifier None Typical Low $3.98 Median $4.47 Typical High $14.13 | Professional | None | $3.98 | $4.47 | $14.13 |
Univera Setting Facility Modifier None Typical Low $6.17 Median $10.96 Typical High $32.36 | Facility | None | $6.17 | $10.96 | $32.36 |
Univera Setting Professional Modifier None Typical Low $6.17 Median $9.55 Typical High $11.75 | Professional | None | $6.17 | $9.55 | $11.75 |
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 $4.07 | Professional | 52 · Reduced service | $1.29 | $1.29 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.52 Median $0.52 Typical High $1.62 | Professional | 53 · Discontinued | $0.52 | $0.52 | $1.62 |
Where New York sits
The same service costs 4.2 times more in Kansas than in North Carolina. 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
$7.24
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.