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 $2.69 Median $3.47 Typical High $12.30 | Facility | None | $2.69 | $3.47 | $12.30 |
Aetna Setting Professional Modifier None Typical Low $2.69 Median $2.69 Typical High $3.39 | Professional | None | $2.69 | $2.69 | $3.39 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $10.23 | Facility | None | $3.98 | $3.98 | $10.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.82 Median $2.95 Typical High $10.00 | Professional | None | $1.82 | $2.95 | $10.00 |
CDPHP Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | None | $3.98 | $3.98 | $3.98 |
Cigna Setting Facility Modifier None Typical Low $3.89 Median $9.77 Typical High $41.69 | Facility | None | $3.89 | $9.77 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $5.01 Typical High $19.05 | Professional | None | $2.82 | $5.01 | $19.05 |
Emblem Health Setting Facility Modifier None Typical Low $3.98 Median $5.13 Typical High $8.91 | Facility | None | $3.98 | $5.13 | $8.91 |
Emblem Health Setting Professional Modifier None Typical Low $1.86 Median $2.40 Typical High $7.76 | Professional | None | $1.86 | $2.40 | $7.76 |
Excellus BCBS Setting Professional Modifier None Typical Low $2.63 Median $3.98 Typical High $4.90 | Professional | None | $2.63 | $3.98 | $4.90 |
MVP Health Care Setting Facility Modifier None Typical Low $4.57 Median $13.80 Typical High $257.04 | Facility | None | $4.57 | $13.80 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $8.13 | Professional | None | $2.95 | $2.95 | $8.13 |
United Setting Facility Modifier None Typical Low $3.55 Median $3.98 Typical High $5.01 | Facility | None | $3.55 | $3.98 | $5.01 |
United Setting Professional Modifier None Typical Low $1.66 Median $2.45 Typical High $6.03 | Professional | None | $1.66 | $2.45 | $6.03 |
Univera Setting Facility Modifier None Typical Low $2.63 Median $4.57 Typical High $14.13 | Facility | None | $2.63 | $4.57 | $14.13 |
Univera Setting Professional Modifier None Typical Low $2.63 Median $3.98 Typical High $4.90 | Professional | None | $2.63 | $3.98 | $4.90 |
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 $1.35 Median $1.35 Typical High $1.70 | Professional | 52 · Reduced service | $1.35 | $1.35 | $1.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.54 Median $0.54 Typical High $0.68 | Professional | 53 · Discontinued | $0.54 | $0.54 | $0.68 |
Where New York sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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
$3.63
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.