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 $6.31 Median $8.32 Typical High $30.20 | Facility | None | $6.31 | $8.32 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $8.32 | Professional | None | $6.31 | $6.31 | $8.32 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $25.12 | Facility | None | $9.77 | $9.77 | $25.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.27 Median $9.55 Typical High $25.12 | Professional | None | $4.27 | $9.55 | $25.12 |
CDPHP Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $25.12 Typical High $93.33 | Facility | None | $9.55 | $25.12 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $11.75 Typical High $57.54 | Professional | None | $6.46 | $11.75 | $57.54 |
Emblem Health Setting Facility Modifier None Typical Low $5.01 Median $9.77 Typical High $21.88 | Facility | None | $5.01 | $9.77 | $21.88 |
Emblem Health Setting Professional Modifier None Typical Low $4.57 Median $5.89 Typical High $19.05 | Professional | None | $4.57 | $5.89 | $19.05 |
Excellus BCBS Setting Professional Modifier None Typical Low $6.46 Median $9.77 Typical High $10.72 | Professional | None | $6.46 | $9.77 | $10.72 |
MVP Health Care Setting Facility Modifier None Typical Low $10.72 Median $18.20 Typical High $257.04 | Facility | None | $10.72 | $18.20 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $19.95 | Professional | None | $6.92 | $6.92 | $19.95 |
United Setting Facility Modifier None Typical Low $8.71 Median $9.77 Typical High $12.30 | Facility | None | $8.71 | $9.77 | $12.30 |
United Setting Professional Modifier None Typical Low $4.07 Median $6.03 Typical High $14.45 | Professional | None | $4.07 | $6.03 | $14.45 |
Univera Setting Facility Modifier None Typical Low $6.46 Median $11.22 Typical High $33.11 | Facility | None | $6.46 | $11.22 | $33.11 |
Univera Setting Professional Modifier None Typical Low $6.46 Median $9.77 Typical High $11.22 | Professional | None | $6.46 | $9.77 | $11.22 |
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 $3.16 Median $3.16 Typical High $4.17 | Professional | 52 · Reduced service | $3.16 | $3.16 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.26 Typical High $1.66 | Professional | 53 · Discontinued | $1.26 | $1.26 | $1.66 |
Where New York sits
The same service costs 3.6 times more in Kansas 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· 29th of 51
$9.33
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.