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 $13.80 Median $15.49 Typical High $46.77 | Facility | None | $13.80 | $15.49 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $15.49 Typical High $30.20 | Professional | None | $13.80 | $15.49 | $30.20 |
Ambetter Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | None | $8.32 | $8.32 | $8.32 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $47.86 | Facility | None | $18.20 | $18.20 | $47.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $14.79 Typical High $48.98 | Professional | None | $9.12 | $14.79 | $48.98 |
CDPHP Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $39.81 Typical High $199.53 | Facility | None | $17.78 | $39.81 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $25.12 Typical High $120.23 | Professional | None | $12.88 | $25.12 | $120.23 |
Emblem Health Setting Facility Modifier None Typical Low $10.00 Median $20.89 Typical High $41.69 | Facility | None | $10.00 | $20.89 | $41.69 |
Emblem Health Setting Professional Modifier None Typical Low $8.71 Median $12.88 Typical High $35.48 | Professional | None | $8.71 | $12.88 | $35.48 |
Excellus BCBS Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
Excellus BCBS Setting Professional Modifier None Typical Low $15.49 Median $18.20 Typical High $23.44 | Professional | None | $15.49 | $18.20 | $23.44 |
Highmark BCBS Setting Facility Modifier None Typical Low $14.45 Median $30.90 Typical High $85.11 | Facility | None | $14.45 | $30.90 | $85.11 |
Highmark BCBS Setting Professional Modifier None Typical Low $10.96 Median $12.30 Typical High $12.88 | Professional | None | $10.96 | $12.30 | $12.88 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $33.11 Typical High $257.04 | Facility | None | $13.80 | $33.11 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $38.02 | Professional | None | $14.79 | $14.79 | $38.02 |
United Setting Facility Modifier None Typical Low $16.60 Median $18.20 Typical High $22.91 | Facility | None | $16.60 | $18.20 | $22.91 |
United Setting Professional Modifier None Typical Low $7.76 Median $12.02 Typical High $27.54 | Professional | None | $7.76 | $12.02 | $27.54 |
Univera Setting Facility Modifier None Typical Low $12.02 Median $18.20 Typical High $46.77 | Facility | None | $12.02 | $18.20 | $46.77 |
Univera Setting Professional Modifier None Typical Low $12.02 Median $18.20 Typical High $23.99 | Professional | None | $12.02 | $18.20 | $23.99 |
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 $6.76 Median $6.76 Typical High $7.76 | Professional | 52 · Reduced service | $6.76 | $6.76 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.75 Typical High $3.16 | Professional | 53 · Discontinued | $2.75 | $2.75 | $3.16 |
Where New York sits
The same service costs 7.1 times more in Vermont than in Illinois. 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· 30th of 51
$18.20
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.