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 $12.30 Median $20.42 Typical High $83.18 | Facility | None | $12.30 | $20.42 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $19.95 | Professional | None | $12.30 | $12.30 | $19.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $61.66 | Facility | None | $23.44 | $23.44 | $61.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $16.22 Typical High $52.48 | Professional | None | $9.33 | $16.22 | $52.48 |
CDPHP Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $50.12 Typical High $177.83 | Facility | None | $22.91 | $50.12 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $27.54 Typical High $114.82 | Professional | None | $13.18 | $27.54 | $114.82 |
Emblem Health Setting Facility Modifier None Typical Low $13.49 Median $23.44 Typical High $53.70 | Facility | None | $13.49 | $23.44 | $53.70 |
Emblem Health Setting Professional Modifier None Typical Low $10.96 Median $16.60 Typical High $45.71 | Professional | None | $10.96 | $16.60 | $45.71 |
Excellus BCBS Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Excellus BCBS Setting Professional Modifier None Typical Low $15.49 Median $22.91 Typical High $26.30 | Professional | None | $15.49 | $22.91 | $26.30 |
Highmark BCBS Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $42.66 Typical High $257.04 | Facility | None | $13.80 | $42.66 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $48.98 | Professional | None | $15.49 | $15.49 | $48.98 |
United Setting Facility Modifier None Typical Low $21.38 Median $23.44 Typical High $29.51 | Facility | None | $21.38 | $23.44 | $29.51 |
United Setting Professional Modifier None Typical Low $10.00 Median $14.13 Typical High $35.48 | Professional | None | $10.00 | $14.13 | $35.48 |
Univera Setting Facility Modifier None Typical Low $15.49 Median $22.91 Typical High $41.69 | Facility | None | $15.49 | $22.91 | $41.69 |
Univera Setting Professional Modifier None Typical Low $15.49 Median $22.91 Typical High $29.51 | Professional | None | $15.49 | $22.91 | $29.51 |
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 $6.17 Median $6.17 Typical High $10.00 | Professional | 52 · Reduced service | $6.17 | $6.17 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.45 Typical High $3.98 | Professional | 53 · Discontinued | $2.45 | $2.45 | $3.98 |
Where New York sits
The same service costs 3.5 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· 28th 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.