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 $22.39 Typical High $87.10 | Facility | None | $6.46 | $22.39 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $23.99 | Professional | None | $6.46 | $6.46 | $23.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $74.13 | Facility | None | $28.18 | $28.18 | $74.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.30 Median $17.78 Typical High $57.54 | Professional | None | $12.30 | $17.78 | $57.54 |
CDPHP Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $61.66 Typical High $95.50 | Facility | None | $27.54 | $61.66 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $35.48 Typical High $177.83 | Professional | None | $19.50 | $35.48 | $177.83 |
Emblem Health Setting Facility Modifier None Typical Low $19.05 Median $30.90 Typical High $64.57 | Facility | None | $19.05 | $30.90 | $64.57 |
Emblem Health Setting Professional Modifier None Typical Low $13.49 Median $16.98 Typical High $54.95 | Professional | None | $13.49 | $16.98 | $54.95 |
Excellus BCBS Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
Excellus BCBS Setting Professional Modifier None Typical Low $11.48 Median $27.54 Typical High $34.67 | Professional | None | $11.48 | $27.54 | $34.67 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $37.15 Typical High $257.04 | Facility | None | $13.80 | $37.15 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $75.86 | Professional | None | $15.14 | $15.14 | $75.86 |
United Setting Facility Modifier None Typical Low $25.70 Median $28.18 Typical High $75.86 | Facility | None | $25.70 | $28.18 | $75.86 |
United Setting Professional Modifier None Typical Low $12.02 Median $16.22 Typical High $42.66 | Professional | None | $12.02 | $16.22 | $42.66 |
Univera Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $66.07 | Facility | None | $11.48 | $11.48 | $66.07 |
Univera Setting Professional Modifier None Typical Low $11.48 Median $27.54 Typical High $36.31 | Professional | None | $11.48 | $27.54 | $36.31 |
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 $3.24 Median $3.24 Typical High $12.02 | Professional | 52 · Reduced service | $3.24 | $3.24 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.29 Typical High $4.79 | Professional | 53 · Discontinued | $1.29 | $1.29 | $4.79 |
Where New York sits
The same service costs 4.8 times more in Kansas than in Texas. 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· 47th of 51
$20.89
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.