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 $8.71 Median $10.96 Typical High $38.90 | Facility | None | $8.71 | $10.96 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $10.96 | Professional | None | $8.71 | $8.71 | $10.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $33.11 | Facility | None | $12.88 | $12.88 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $9.33 Typical High $31.62 | Professional | None | $5.75 | $9.33 | $31.62 |
CDPHP Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $33.11 Typical High $125.89 | Facility | None | $12.30 | $33.11 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $15.85 Typical High $77.62 | Professional | None | $8.71 | $15.85 | $77.62 |
Emblem Health Setting Facility Modifier None Typical Low $12.88 Median $16.60 Typical High $28.84 | Facility | None | $12.88 | $16.60 | $28.84 |
Emblem Health Setting Professional Modifier None Typical Low $6.03 Median $7.59 Typical High $24.55 | Professional | None | $6.03 | $7.59 | $24.55 |
Excellus BCBS Setting Professional Modifier None Typical Low $8.32 Median $12.88 Typical High $14.13 | Professional | None | $8.32 | $12.88 | $14.13 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $22.91 Typical High $257.04 | Facility | None | $13.80 | $22.91 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $26.30 | Professional | None | $9.33 | $9.33 | $26.30 |
United Setting Facility Modifier None Typical Low $11.48 Median $12.88 Typical High $15.85 | Facility | None | $11.48 | $12.88 | $15.85 |
United Setting Professional Modifier None Typical Low $5.37 Median $7.59 Typical High $19.05 | Professional | None | $5.37 | $7.59 | $19.05 |
Univera Setting Facility Modifier None Typical Low $8.32 Median $14.79 Typical High $44.67 | Facility | None | $8.32 | $14.79 | $44.67 |
Univera Setting Professional Modifier None Typical Low $8.32 Median $12.88 Typical High $14.79 | Professional | None | $8.32 | $12.88 | $14.79 |
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 $4.37 Median $4.37 Typical High $5.37 | Professional | 52 · Reduced service | $4.37 | $4.37 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.74 Typical High $2.19 | Professional | 53 · Discontinued | $1.74 | $1.74 | $2.19 |
Where New York sits
The same service costs 3.2 times more in Alaska than in Kentucky. 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· 32nd of 51
$11.22
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.