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 $6.46 Median $7.41 Typical High $21.88 | Facility | None | $6.46 | $7.41 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $7.41 Typical High $12.88 | Professional | None | $6.46 | $7.41 | $12.88 |
Ambetter Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $4.37 | Professional | None | $3.89 | $3.89 | $4.37 |
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 $4.37 Median $6.92 Typical High $23.99 | Professional | None | $4.37 | $6.92 | $23.99 |
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 $19.05 Typical High $95.50 | Facility | None | $8.51 | $19.05 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $11.75 Typical High $57.54 | Professional | None | $6.17 | $11.75 | $57.54 |
Emblem Health Setting Facility Modifier None Typical Low $7.08 Median $11.22 Typical High $19.50 | Facility | None | $7.08 | $11.22 | $19.50 |
Emblem Health Setting Professional Modifier None Typical Low $4.07 Median $5.25 Typical High $16.98 | Professional | None | $4.07 | $5.25 | $16.98 |
Excellus BCBS Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Facility | None | $5.13 | $5.13 | $5.13 |
Excellus BCBS Setting Professional Modifier None Typical Low $5.13 Median $8.71 Typical High $10.47 | Professional | None | $5.13 | $8.71 | $10.47 |
Highmark BCBS Setting Facility Modifier None Typical Low $6.92 Median $18.20 Typical High $41.69 | Facility | None | $6.92 | $18.20 | $41.69 |
Highmark BCBS Setting Professional Modifier None Typical Low $5.25 Median $5.37 Typical High $5.89 | Professional | None | $5.25 | $5.37 | $5.89 |
MVP Health Care Setting Facility Modifier None Typical Low $8.71 Median $15.85 Typical High $257.04 | Facility | None | $8.71 | $15.85 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $18.20 | Professional | None | $7.08 | $7.08 | $18.20 |
United Setting Facility Modifier None Typical Low $2.29 Median $8.71 Typical High $19.50 | Facility | None | $2.29 | $8.71 | $19.50 |
United Setting Professional Modifier None Typical Low $3.63 Median $5.25 Typical High $13.18 | Professional | None | $3.63 | $5.25 | $13.18 |
Univera Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $22.39 | Facility | None | $5.13 | $5.13 | $22.39 |
Univera Setting Professional Modifier None Typical Low $5.13 Median $8.71 Typical High $12.30 | Professional | None | $5.13 | $8.71 | $12.30 |
3 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 $3.24 Median $3.24 Typical High $3.72 | Professional | 52 · Reduced service | $3.24 | $3.24 | $3.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.29 Typical High $1.48 | Professional | 53 · Discontinued | $1.29 | $1.29 | $1.48 |
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | 59 · Distinct service | $4.47 | $4.47 | $4.47 |
Where New York sits
The same service costs 7.6 times more in Minnesota than in Maryland. 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
$7.76
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.