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 $14.13 Median $17.38 Typical High $45.71 | Facility | None | $14.13 | $17.38 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $16.22 | Professional | None | $13.49 | $13.49 | $16.22 |
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 $14.45 Typical High $50.12 | Professional | None | $9.12 | $14.45 | $50.12 |
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 $24.55 Typical High $120.23 | Professional | None | $12.88 | $24.55 | $120.23 |
Emblem Health Setting Facility Modifier None Typical Low $8.51 Median $18.20 Typical High $40.74 | Facility | None | $8.51 | $18.20 | $40.74 |
Emblem Health Setting Professional Modifier None Typical Low $8.51 Median $10.96 Typical High $35.48 | Professional | None | $8.51 | $10.96 | $35.48 |
Excellus BCBS Setting Professional Modifier None Typical Low $12.02 Median $18.20 Typical High $26.30 | Professional | None | $12.02 | $18.20 | $26.30 |
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 $44.67 | Professional | None | $14.79 | $14.79 | $44.67 |
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 $10.96 Typical High $27.54 | Professional | None | $7.76 | $10.96 | $27.54 |
Univera Setting Facility Modifier None Typical Low $12.02 Median $20.89 Typical High $63.10 | Facility | None | $12.02 | $20.89 | $63.10 |
Univera Setting Professional Modifier None Typical Low $12.02 Median $18.20 Typical High $26.30 | Professional | None | $12.02 | $18.20 | $26.30 |
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 $2.69 Median $2.69 Typical High $3.09 | Professional | 53 · Discontinued | $2.69 | $2.69 | $3.09 |
Where New York sits
The same service costs 3.0 times more in Alaska than in Maryland. 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
$16.60
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.