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 $12.88 Median $14.79 Typical High $52.48 | Facility | None | $12.88 | $14.79 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $15.49 | Professional | None | $12.88 | $12.88 | $15.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $44.67 | Facility | None | $17.38 | $17.38 | $44.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.51 Median $13.80 Typical High $48.98 | Professional | None | $8.51 | $13.80 | $48.98 |
CDPHP Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $38.02 Typical High $186.21 | Facility | None | $16.60 | $38.02 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $23.44 Typical High $112.20 | Professional | None | $12.02 | $23.44 | $112.20 |
Emblem Health Setting Facility Modifier None Typical Low $13.49 Median $20.89 Typical High $38.90 | Facility | None | $13.49 | $20.89 | $38.90 |
Emblem Health Setting Professional Modifier None Typical Low $8.13 Median $12.02 Typical High $33.11 | Professional | None | $8.13 | $12.02 | $33.11 |
Excellus BCBS Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Excellus BCBS Setting Professional Modifier None Typical Low $14.45 Median $17.38 Typical High $20.42 | Professional | None | $14.45 | $17.38 | $20.42 |
Highmark BCBS Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $30.90 Typical High $257.04 | Facility | None | $13.80 | $30.90 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $35.48 | Professional | None | $13.80 | $13.80 | $35.48 |
United Setting Facility Modifier None Typical Low $15.49 Median $17.38 Typical High $21.38 | Facility | None | $15.49 | $17.38 | $21.38 |
United Setting Professional Modifier None Typical Low $7.24 Median $10.47 Typical High $25.70 | Professional | None | $7.24 | $10.47 | $25.70 |
Univera Setting Facility Modifier None Typical Low $11.22 Median $17.38 Typical High $43.65 | Facility | None | $11.22 | $17.38 | $43.65 |
Univera Setting Professional Modifier None Typical Low $11.22 Median $17.38 Typical High $22.39 | Professional | None | $11.22 | $17.38 | $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 $6.31 Median $6.31 Typical High $7.24 | Professional | 52 · Reduced service | $6.31 | $6.31 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $2.95 | Professional | 53 · Discontinued | $2.51 | $2.51 | $2.95 |
Where New York sits
The same service costs 3.3 times more in Kansas than in Maryland. 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· 29th of 51
$16.98
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.