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 $8.71 Median $10.96 Typical High $35.48 | Facility | None | $8.71 | $10.96 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $10.72 | Professional | None | $8.71 | $8.71 | $10.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $30.20 | Facility | None | $11.75 | $11.75 | $30.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $8.91 Typical High $30.20 | Professional | None | $5.75 | $8.91 | $30.20 |
CDPHP Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $25.70 Typical High $125.89 | Facility | None | $11.22 | $25.70 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $15.85 Typical High $56.23 | Professional | None | $8.13 | $15.85 | $56.23 |
Emblem Health Setting Facility Modifier None Typical Low $9.55 Median $14.45 Typical High $26.30 | Facility | None | $9.55 | $14.45 | $26.30 |
Emblem Health Setting Professional Modifier None Typical Low $5.50 Median $6.92 Typical High $22.39 | Professional | None | $5.50 | $6.92 | $22.39 |
Excellus BCBS Setting Professional Modifier None Typical Low $6.46 Median $10.96 Typical High $12.88 | Professional | None | $6.46 | $10.96 | $12.88 |
Highmark BCBS Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
MVP Health Care Setting Facility Modifier None Typical Low $11.75 Median $20.89 Typical High $257.04 | Facility | None | $11.75 | $20.89 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $23.99 | Professional | None | $8.91 | $8.91 | $23.99 |
United Setting Facility Modifier None Typical Low $10.47 Median $11.75 Typical High $44.67 | Facility | None | $10.47 | $11.75 | $44.67 |
United Setting Professional Modifier None Typical Low $4.90 Median $7.24 Typical High $17.38 | Professional | None | $4.90 | $7.24 | $17.38 |
Univera Setting Facility Modifier None Typical Low $7.59 Median $13.49 Typical High $25.12 | Facility | None | $7.59 | $13.49 | $25.12 |
Univera Setting Professional Modifier None Typical Low $6.46 Median $10.96 Typical High $13.18 | Professional | None | $6.46 | $10.96 | $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 $4.37 Median $4.37 Typical High $4.90 | Professional | 52 · Reduced service | $4.37 | $4.37 | $4.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.74 Typical High $2.00 | Professional | 53 · Discontinued | $1.74 | $1.74 | $2.00 |
Where New York sits
The same service costs 4.7 times more in Kansas than in Nebraska. 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
$10.00
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.