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 $6.61 Median $8.32 Typical High $26.92 | Facility | None | $6.61 | $8.32 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $7.59 | Professional | None | $6.61 | $6.61 | $7.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $22.91 | Facility | None | $8.91 | $8.91 | $22.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.37 Median $6.76 Typical High $22.91 | Professional | None | $4.37 | $6.76 | $22.91 |
CDPHP Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | None | $8.91 | $8.91 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $21.38 Typical High $95.50 | Facility | None | $8.71 | $21.38 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $12.02 Typical High $57.54 | Professional | None | $6.17 | $12.02 | $57.54 |
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 $5.37 Typical High $16.98 | Professional | None | $4.17 | $5.37 | $16.98 |
Excellus BCBS Setting Professional Modifier None Typical Low $5.75 Median $8.51 Typical High $9.77 | Professional | None | $5.75 | $8.51 | $9.77 |
Highmark BCBS Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Facility | None | $5.89 | $5.89 | $5.89 |
MVP Health Care Setting Facility Modifier None Typical Low $9.55 Median $16.60 Typical High $257.04 | Facility | None | $9.55 | $16.60 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $25.12 | Professional | None | $7.08 | $7.08 | $25.12 |
United Setting Facility Modifier None Typical Low $7.94 Median $8.91 Typical High $30.20 | Facility | None | $7.94 | $8.91 | $30.20 |
United Setting Professional Modifier None Typical Low $3.72 Median $5.37 Typical High $13.18 | Professional | None | $3.72 | $5.37 | $13.18 |
Univera Setting Facility Modifier None Typical Low $5.75 Median $10.23 Typical High $30.20 | Facility | None | $5.75 | $10.23 | $30.20 |
Univera Setting Professional Modifier None Typical Low $5.75 Median $8.71 Typical High $10.23 | Professional | None | $5.75 | $8.71 | $10.23 |
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 $3.31 Median $3.31 Typical High $3.80 | Professional | 52 · Reduced service | $3.31 | $3.31 | $3.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.32 Typical High $1.51 | Professional | 53 · Discontinued | $1.32 | $1.32 | $1.51 |
Where New York sits
The same service costs 3.8 times more in Kansas than in Oklahoma. 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
$7.94
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.