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 $14.13 Median $17.78 Typical High $58.88 | Facility | None | $14.13 | $17.78 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $16.60 | Professional | None | $14.13 | $14.13 | $16.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $50.12 | Facility | None | $19.50 | $19.50 | $50.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $15.14 Typical High $50.12 | Professional | None | $9.33 | $15.14 | $50.12 |
CDPHP Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $41.69 Typical High $204.17 | Facility | None | $19.05 | $41.69 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $22.39 Typical High $93.33 | Professional | None | $13.49 | $22.39 | $93.33 |
Emblem Health Setting Facility Modifier None Typical Low $3.98 Median $19.50 Typical High $43.65 | Facility | None | $3.98 | $19.50 | $43.65 |
Emblem Health Setting Professional Modifier None Typical Low $9.12 Median $11.48 Typical High $37.15 | Professional | None | $9.12 | $11.48 | $37.15 |
Excellus BCBS Setting Facility Modifier None Typical Low $5.25 Median $5.25 Typical High $5.25 | Facility | None | $5.25 | $5.25 | $5.25 |
Excellus BCBS Setting Professional Modifier None Typical Low $5.25 Median $18.20 Typical High $21.88 | Professional | None | $5.25 | $18.20 | $21.88 |
MVP Health Care Setting Facility Modifier None Typical Low $11.22 Median $25.12 Typical High $257.04 | Facility | None | $11.22 | $25.12 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $39.81 | Professional | None | $6.17 | $6.17 | $39.81 |
United Setting Facility Modifier None Typical Low $17.38 Median $19.50 Typical High $23.99 | Facility | None | $17.38 | $19.50 | $23.99 |
United Setting Professional Modifier None Typical Low $8.13 Median $12.02 Typical High $33.88 | Professional | None | $8.13 | $12.02 | $33.88 |
Univera Setting Facility Modifier None Typical Low $5.25 Median $5.25 Typical High $23.44 | Facility | None | $5.25 | $5.25 | $23.44 |
Univera Setting Professional Modifier None Typical Low $5.25 Median $18.20 Typical High $22.39 | Professional | None | $5.25 | $18.20 | $22.39 |
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 $7.08 Median $7.08 Typical High $8.13 | Professional | 52 · Reduced service | $7.08 | $7.08 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $3.31 | Professional | 53 · Discontinued | $2.82 | $2.82 | $3.31 |
Where New York sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 43rd of 51
$15.14
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.