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 $5.37 Median $8.32 Typical High $30.20 | Facility | None | $5.37 | $8.32 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $8.32 | Professional | None | $5.37 | $5.37 | $8.32 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $25.70 | Facility | None | $9.77 | $9.77 | $25.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.47 Median $7.24 Typical High $22.39 | Professional | None | $4.47 | $7.24 | $22.39 |
CDPHP Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $20.89 Typical High $77.62 | Facility | None | $9.55 | $20.89 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $12.30 Typical High $58.88 | Professional | None | $6.76 | $12.30 | $58.88 |
Emblem Health Setting Facility Modifier None Typical Low $6.03 Median $10.47 Typical High $21.88 | Facility | None | $6.03 | $10.47 | $21.88 |
Emblem Health Setting Professional Modifier None Typical Low $4.57 Median $5.89 Typical High $19.05 | Professional | None | $4.57 | $5.89 | $19.05 |
Excellus BCBS Setting Professional Modifier None Typical Low $6.46 Median $9.77 Typical High $10.96 | Professional | None | $6.46 | $9.77 | $10.96 |
MVP Health Care Setting Facility Modifier None Typical Low $11.48 Median $18.62 Typical High $257.04 | Facility | None | $11.48 | $18.62 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $20.42 | Professional | None | $7.41 | $7.41 | $20.42 |
United Setting Facility Modifier None Typical Low $8.91 Median $9.77 Typical High $25.70 | Facility | None | $8.91 | $9.77 | $25.70 |
United Setting Professional Modifier None Typical Low $4.07 Median $5.89 Typical High $14.79 | Professional | None | $4.07 | $5.89 | $14.79 |
Univera Setting Facility Modifier None Typical Low $6.46 Median $11.22 Typical High $34.67 | Facility | None | $6.46 | $11.22 | $34.67 |
Univera Setting Professional Modifier None Typical Low $6.46 Median $9.77 Typical High $11.22 | Professional | None | $6.46 | $9.77 | $11.22 |
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 $2.63 Median $2.63 Typical High $4.17 | Professional | 52 · Reduced service | $2.63 | $2.63 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.07 Median $1.07 Typical High $1.66 | Professional | 53 · Discontinued | $1.07 | $1.07 | $1.66 |
Where New York sits
The same service costs 4.4 times more in Kansas 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· 33rd of 51
$8.32
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.