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 $9.12 Typical High $33.11 | Facility | None | $6.46 | $9.12 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $9.12 | Professional | None | $6.46 | $6.46 | $9.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $28.18 | Facility | None | $10.72 | $10.72 | $28.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.25 Median $8.32 Typical High $25.70 | Professional | None | $5.25 | $8.32 | $25.70 |
CDPHP Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $23.44 Typical High $93.33 | Facility | None | $10.47 | $23.44 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $14.45 Typical High $72.44 | Professional | None | $7.59 | $14.45 | $72.44 |
Emblem Health Setting Facility Modifier None Typical Low $8.51 Median $13.49 Typical High $23.99 | Facility | None | $8.51 | $13.49 | $23.99 |
Emblem Health Setting Professional Modifier None Typical Low $5.01 Median $6.46 Typical High $20.89 | Professional | None | $5.01 | $6.46 | $20.89 |
Excellus BCBS Setting Professional Modifier None Typical Low $7.08 Median $10.72 Typical High $12.02 | Professional | None | $7.08 | $10.72 | $12.02 |
MVP Health Care Setting Facility Modifier None Typical Low $13.49 Median $19.95 Typical High $257.04 | Facility | None | $13.49 | $19.95 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $21.88 | Professional | None | $8.71 | $8.71 | $21.88 |
United Setting Facility Modifier None Typical Low $9.77 Median $10.72 Typical High $31.62 | Facility | None | $9.77 | $10.72 | $31.62 |
United Setting Professional Modifier None Typical Low $4.47 Median $6.46 Typical High $16.22 | Professional | None | $4.47 | $6.46 | $16.22 |
Univera Setting Facility Modifier None Typical Low $7.08 Median $12.30 Typical High $39.81 | Facility | None | $7.08 | $12.30 | $39.81 |
Univera Setting Professional Modifier None Typical Low $7.08 Median $10.72 Typical High $12.88 | Professional | None | $7.08 | $10.72 | $12.88 |
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 $4.57 | Professional | 52 · Reduced service | $3.24 | $3.24 | $4.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.29 Typical High $1.82 | Professional | 53 · Discontinued | $1.29 | $1.29 | $1.82 |
Where New York sits
The same service costs 3.4 times more in Alaska 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
$9.55
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.