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 $3.16 Median $4.90 Typical High $17.78 | Facility | None | $3.16 | $4.90 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $4.90 | Professional | None | $3.16 | $3.16 | $4.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $15.14 | Facility | None | $5.75 | $5.75 | $15.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.34 Median $3.98 Typical High $13.18 | Professional | None | $2.34 | $3.98 | $13.18 |
CDPHP Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | None | $5.75 | $5.75 | $5.75 |
Cigna Setting Facility Modifier None Typical Low $5.62 Median $15.14 Typical High $50.12 | Facility | None | $5.62 | $15.14 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $6.61 Typical High $33.11 | Professional | None | $3.39 | $6.61 | $33.11 |
Emblem Health Setting Facility Modifier None Typical Low $3.47 Median $6.17 Typical High $13.18 | Facility | None | $3.47 | $6.17 | $13.18 |
Emblem Health Setting Professional Modifier None Typical Low $2.75 Median $4.07 Typical High $11.22 | Professional | None | $2.75 | $4.07 | $11.22 |
Excellus BCBS Setting Facility Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Facility | None | $4.90 | $4.90 | $4.90 |
Excellus BCBS Setting Professional Modifier None Typical Low $3.80 Median $5.13 Typical High $6.46 | Professional | None | $3.80 | $5.13 | $6.46 |
MVP Health Care Setting Facility Modifier None Typical Low $5.75 Median $11.75 Typical High $257.04 | Facility | None | $5.75 | $11.75 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $12.02 | Professional | None | $3.80 | $3.80 | $12.02 |
United Setting Facility Modifier None Typical Low $5.25 Median $5.75 Typical High $7.24 | Facility | None | $5.25 | $5.75 | $7.24 |
United Setting Professional Modifier None Typical Low $2.45 Median $3.47 Typical High $8.71 | Professional | None | $2.45 | $3.47 | $8.71 |
Univera Setting Facility Modifier None Typical Low $3.80 Median $4.90 Typical High $10.96 | Facility | None | $3.80 | $4.90 | $10.96 |
Univera Setting Professional Modifier None Typical Low $3.80 Median $5.13 Typical High $6.61 | Professional | None | $3.80 | $5.13 | $6.61 |
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 $1.58 Median $1.58 Typical High $2.45 | Professional | 52 · Reduced service | $1.58 | $1.58 | $2.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.65 Typical High $1.00 | Professional | 53 · Discontinued | $0.65 | $0.65 | $1.00 |
Where New York sits
The same service costs 3.5 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
$4.90
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.