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 $17.38 Median $22.39 Typical High $77.62 | Facility | None | $17.38 | $22.39 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $21.38 | Professional | None | $17.38 | $17.38 | $21.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $66.07 | Facility | None | $25.12 | $25.12 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.75 Median $19.50 Typical High $64.57 | Professional | None | $11.75 | $19.50 | $64.57 |
CDPHP Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $53.70 Typical High $257.04 | Facility | None | $24.55 | $53.70 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $31.62 Typical High $154.88 | Professional | None | $17.38 | $31.62 | $154.88 |
Emblem Health Setting Facility Modifier None Typical Low $19.50 Median $30.20 Typical High $56.23 | Facility | None | $19.50 | $30.20 | $56.23 |
Emblem Health Setting Professional Modifier None Typical Low $11.75 Median $15.14 Typical High $48.98 | Professional | None | $11.75 | $15.14 | $48.98 |
Excellus BCBS Setting Professional Modifier None Typical Low $16.60 Median $25.12 Typical High $33.11 | Professional | None | $16.60 | $25.12 | $33.11 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $45.71 Typical High $257.04 | Facility | None | $13.80 | $45.71 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $52.48 | Professional | None | $19.05 | $19.05 | $52.48 |
United Setting Facility Modifier None Typical Low $22.91 Median $25.12 Typical High $83.18 | Facility | None | $22.91 | $25.12 | $83.18 |
United Setting Professional Modifier None Typical Low $10.47 Median $15.14 Typical High $38.02 | Professional | None | $10.47 | $15.14 | $38.02 |
Univera Setting Facility Modifier None Typical Low $16.60 Median $28.84 Typical High $89.13 | Facility | None | $16.60 | $28.84 | $89.13 |
Univera Setting Professional Modifier None Typical Low $16.60 Median $25.12 Typical High $33.11 | Professional | None | $16.60 | $25.12 | $33.11 |
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 $8.71 Median $8.71 Typical High $10.72 | Professional | 52 · Reduced service | $8.71 | $8.71 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $4.27 | Professional | 53 · Discontinued | $3.47 | $3.47 | $4.27 |
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· 32nd of 51
$22.39
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.