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 $14.79 Median $23.44 Typical High $69.18 | Facility | None | $14.79 | $23.44 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $23.44 | Professional | None | $14.79 | $14.79 | $23.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $70.79 | Facility | None | $27.54 | $27.54 | $70.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $19.05 Typical High $61.66 | Professional | None | $10.96 | $19.05 | $61.66 |
CDPHP Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $57.54 Typical High $218.78 | Facility | None | $26.92 | $57.54 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $31.62 Typical High $134.90 | Professional | None | $15.85 | $31.62 | $134.90 |
Emblem Health Setting Facility Modifier None Typical Low $16.60 Median $27.54 Typical High $61.66 | Facility | None | $16.60 | $27.54 | $61.66 |
Emblem Health Setting Professional Modifier None Typical Low $12.88 Median $16.60 Typical High $53.70 | Professional | None | $12.88 | $16.60 | $53.70 |
Excellus BCBS Setting Professional Modifier None Typical Low $17.78 Median $26.30 Typical High $30.20 | Professional | None | $17.78 | $26.30 | $30.20 |
Highmark BCBS Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $30.20 | Facility | None | $23.99 | $23.99 | $30.20 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $48.98 Typical High $257.04 | Facility | None | $13.80 | $48.98 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $56.23 | Professional | None | $17.78 | $17.78 | $56.23 |
United Setting Facility Modifier None Typical Low $24.55 Median $27.54 Typical High $33.88 | Facility | None | $24.55 | $27.54 | $33.88 |
United Setting Professional Modifier None Typical Low $11.48 Median $16.60 Typical High $40.74 | Professional | None | $11.48 | $16.60 | $40.74 |
Univera Setting Facility Modifier None Typical Low $17.78 Median $31.62 Typical High $74.13 | Facility | None | $17.78 | $31.62 | $74.13 |
Univera Setting Professional Modifier None Typical Low $17.78 Median $26.30 Typical High $30.90 | Professional | None | $17.78 | $26.30 | $30.90 |
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 $7.41 Median $7.41 Typical High $11.75 | Professional | 52 · Reduced service | $7.41 | $7.41 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.02 Typical High $4.68 | Professional | 53 · Discontinued | $3.02 | $3.02 | $4.68 |
Where New York sits
The same service costs 3.5 times more in Alaska than in Alabama. 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
$21.38
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.