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 $3.55 Median $5.25 Typical High $20.89 | Facility | None | $3.55 | $5.25 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $4.37 | Professional | None | $3.55 | $3.55 | $4.37 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $12.30 | Facility | None | $4.79 | $4.79 | $12.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.34 Median $3.80 Typical High $12.59 | Professional | None | $2.34 | $3.80 | $12.59 |
CDPHP Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | None | $4.79 | $4.79 | $4.79 |
Cigna Setting Facility Modifier None Typical Low $4.68 Median $10.47 Typical High $51.29 | Facility | None | $4.68 | $10.47 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $6.46 Typical High $22.91 | Professional | None | $3.31 | $6.46 | $22.91 |
Emblem Health Setting Facility Modifier None Typical Low $3.98 Median $6.03 Typical High $10.72 | Facility | None | $3.98 | $6.03 | $10.72 |
Emblem Health Setting Professional Modifier None Typical Low $2.24 Median $2.82 Typical High $9.12 | Professional | None | $2.24 | $2.82 | $9.12 |
Excellus BCBS Setting Professional Modifier None Typical Low $3.09 Median $4.79 Typical High $5.37 | Professional | None | $3.09 | $4.79 | $5.37 |
MVP Health Care Setting Facility Modifier None Typical Low $5.89 Median $13.80 Typical High $257.04 | Facility | None | $5.89 | $13.80 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $9.77 | Professional | None | $3.63 | $3.63 | $9.77 |
United Setting Facility Modifier None Typical Low $4.27 Median $4.79 Typical High $13.49 | Facility | None | $4.27 | $4.79 | $13.49 |
United Setting Professional Modifier None Typical Low $2.00 Median $3.09 Typical High $7.08 | Professional | None | $2.00 | $3.09 | $7.08 |
Univera Setting Facility Modifier None Typical Low $3.09 Median $5.50 Typical High $17.78 | Facility | None | $3.09 | $5.50 | $17.78 |
Univera Setting Professional Modifier None Typical Low $3.09 Median $4.79 Typical High $5.62 | Professional | None | $3.09 | $4.79 | $5.62 |
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 $1.78 Median $1.78 Typical High $2.04 | Professional | 52 · Reduced service | $1.78 | $1.78 | $2.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.71 Typical High $0.81 | Professional | 53 · Discontinued | $0.71 | $0.71 | $0.81 |
Where New York sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 34th of 51
$4.27
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.