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 $3.55 Median $4.07 Typical High $11.75 | Facility | None | $3.55 | $4.07 | $11.75 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $4.07 Typical High $7.08 | Professional | None | $3.55 | $4.07 | $7.08 |
Ambetter Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $12.30 | Facility | None | $4.79 | $4.79 | $12.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.34 Median $3.80 Typical High $12.59 | Professional | None | $2.34 | $3.80 | $12.59 |
CDPHP Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | None | $4.79 | $4.79 | $4.79 |
Cigna Setting Facility Modifier None Typical Low $4.57 Median $10.47 Typical High $51.29 | Facility | None | $4.57 | $10.47 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $6.46 Typical High $32.36 | Professional | None | $3.31 | $6.46 | $32.36 |
Emblem Health Setting Facility Modifier None Typical Low $3.47 Median $5.62 Typical High $10.72 | Facility | None | $3.47 | $5.62 | $10.72 |
Emblem Health Setting Professional Modifier None Typical Low $2.24 Median $3.31 Typical High $9.12 | Professional | None | $2.24 | $3.31 | $9.12 |
Excellus BCBS Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $4.79 | Facility | None | $4.79 | $4.79 | $4.79 |
Excellus BCBS Setting Professional Modifier None Typical Low $4.07 Median $4.79 Typical High $5.75 | Professional | None | $4.07 | $4.79 | $5.75 |
Highmark BCBS Setting Facility Modifier None Typical Low $3.80 Median $10.00 Typical High $35.48 | Facility | None | $3.80 | $10.00 | $35.48 |
Highmark BCBS Setting Professional Modifier None Typical Low $2.82 Median $3.16 Typical High $3.55 | Professional | None | $2.82 | $3.16 | $3.55 |
MVP Health Care Setting Facility Modifier None Typical Low $5.89 Median $10.23 Typical High $257.04 | Facility | None | $5.89 | $10.23 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $9.77 | Professional | None | $3.80 | $3.80 | $9.77 |
United Setting Facility Modifier None Typical Low $1.38 Median $4.79 Typical High $10.47 | Facility | None | $1.38 | $4.79 | $10.47 |
United Setting Professional Modifier None Typical Low $2.00 Median $2.82 Typical High $7.08 | Professional | None | $2.00 | $2.82 | $7.08 |
Univera Setting Facility Modifier None Typical Low $3.09 Median $4.79 Typical High $12.02 | Facility | None | $3.09 | $4.79 | $12.02 |
Univera Setting Professional Modifier None Typical Low $3.09 Median $4.79 Typical High $6.17 | Professional | None | $3.09 | $4.79 | $6.17 |
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 $1.78 Median $1.78 Typical High $2.04 | Professional | 52 · Reduced service | $1.78 | $1.78 | $2.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.71 Typical High $0.81 | Professional | 53 · Discontinued | $0.71 | $0.71 | $0.81 |
Where New York sits
The same service costs 11.7 times more in Vermont 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· 32nd of 51
$4.79
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.