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 $7.08 Median $8.91 Typical High $23.99 | Facility | None | $7.08 | $8.91 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $8.32 | Professional | None | $7.08 | $7.08 | $8.32 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $24.55 | Facility | None | $9.33 | $9.33 | $24.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.68 Median $7.59 Typical High $25.70 | Professional | None | $4.68 | $7.59 | $25.70 |
CDPHP Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $20.42 Typical High $102.33 | Facility | None | $9.12 | $20.42 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $12.88 Typical High $60.26 | Professional | None | $6.61 | $12.88 | $60.26 |
Emblem Health Setting Facility Modifier None Typical Low $8.13 Median $12.02 Typical High $21.38 | Facility | None | $8.13 | $12.02 | $21.38 |
Emblem Health Setting Professional Modifier None Typical Low $4.47 Median $6.61 Typical High $18.20 | Professional | None | $4.47 | $6.61 | $18.20 |
Excellus BCBS Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
Excellus BCBS Setting Professional Modifier None Typical Low $7.94 Median $9.33 Typical High $12.59 | Professional | None | $7.94 | $9.33 | $12.59 |
Highmark BCBS Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
MVP Health Care Setting Facility Modifier None Typical Low $11.75 Median $17.78 Typical High $257.04 | Facility | None | $11.75 | $17.78 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $19.50 | Professional | None | $7.59 | $7.59 | $19.50 |
United Setting Facility Modifier None Typical Low $8.51 Median $9.33 Typical High $22.39 | Facility | None | $8.51 | $9.33 | $22.39 |
United Setting Professional Modifier None Typical Low $3.98 Median $6.17 Typical High $14.13 | Professional | None | $3.98 | $6.17 | $14.13 |
Univera Setting Facility Modifier None Typical Low $6.17 Median $9.33 Typical High $23.99 | Facility | None | $6.17 | $9.33 | $23.99 |
Univera Setting Professional Modifier None Typical Low $6.17 Median $9.33 Typical High $13.18 | Professional | None | $6.17 | $9.33 | $13.18 |
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 $3.55 Median $3.55 Typical High $3.98 | Professional | 52 · Reduced service | $3.55 | $3.55 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $1.41 Typical High $1.58 | Professional | 53 · Discontinued | $1.41 | $1.41 | $1.58 |
Where New York sits
The same service costs 3.5 times more in Kansas than in Alabama. 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
$9.12
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.