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 $14.45 Median $30.20 Typical High $120.23 | Facility | None | $14.45 | $30.20 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $33.11 | Professional | None | $14.45 | $14.45 | $33.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $102.33 | Facility | None | $38.90 | $38.90 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.49 Median $22.39 Typical High $79.43 | Professional | None | $15.49 | $22.39 | $79.43 |
CDPHP Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $83.18 Typical High $213.80 | Facility | None | $38.02 | $83.18 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $44.67 Typical High $186.21 | Professional | None | $15.49 | $44.67 | $186.21 |
Emblem Health Setting Facility Modifier None Typical Low $12.02 Median $38.90 Typical High $87.10 | Facility | None | $12.02 | $38.90 | $87.10 |
Emblem Health Setting Professional Modifier None Typical Low $18.20 Median $23.44 Typical High $75.86 | Professional | None | $18.20 | $23.44 | $75.86 |
Excellus BCBS Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Excellus BCBS Setting Professional Modifier None Typical Low $18.62 Median $32.36 Typical High $42.66 | Professional | None | $18.62 | $32.36 | $42.66 |
MVP Health Care Setting Facility Modifier None Typical Low $13.80 Median $58.88 Typical High $257.04 | Facility | None | $13.80 | $58.88 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $79.43 | Professional | None | $6.31 | $6.31 | $79.43 |
United Setting Facility Modifier None Typical Low $35.48 Median $38.90 Typical High $60.26 | Facility | None | $35.48 | $38.90 | $60.26 |
United Setting Professional Modifier None Typical Low $15.14 Median $17.38 Typical High $56.23 | Professional | None | $15.14 | $17.38 | $56.23 |
Univera Setting Facility Modifier None Typical Low $25.70 Median $27.54 Typical High $50.12 | Facility | None | $25.70 | $27.54 | $50.12 |
Univera Setting Professional Modifier None Typical Low $20.42 Median $32.36 Typical High $43.65 | Professional | None | $20.42 | $32.36 | $43.65 |
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 $7.24 Median $7.24 Typical High $16.60 | Professional | 52 · Reduced service | $7.24 | $7.24 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $6.61 | Professional | 53 · Discontinued | $2.88 | $2.88 | $6.61 |
Where New York sits
The same service costs 4.3 times more in Alaska than in Oklahoma. 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· 34th of 51
$27.54
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.