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 $5.62 Median $7.08 Typical High $21.88 | Facility | None | $5.62 | $7.08 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $6.76 | Professional | None | $5.62 | $5.62 | $6.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $18.62 | Facility | None | $7.24 | $7.24 | $18.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.55 Median $6.03 Typical High $19.50 | Professional | None | $3.55 | $6.03 | $19.50 |
CDPHP Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | None | $7.24 | $7.24 | $7.24 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $15.85 Typical High $79.43 | Facility | None | $7.08 | $15.85 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $10.23 Typical High $48.98 | Professional | None | $5.01 | $10.23 | $48.98 |
Emblem Health Setting Facility Modifier None Typical Low $5.01 Median $8.13 Typical High $16.22 | Facility | None | $5.01 | $8.13 | $16.22 |
Emblem Health Setting Professional Modifier None Typical Low $3.39 Median $4.37 Typical High $14.13 | Professional | None | $3.39 | $4.37 | $14.13 |
Excellus BCBS Setting Professional Modifier None Typical Low $4.68 Median $7.24 Typical High $10.47 | Professional | None | $4.68 | $7.24 | $10.47 |
MVP Health Care Setting Facility Modifier None Typical Low $9.33 Median $13.80 Typical High $257.04 | Facility | None | $9.33 | $13.80 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $14.79 | Professional | None | $3.39 | $3.39 | $14.79 |
United Setting Facility Modifier None Typical Low $6.46 Median $7.24 Typical High $22.39 | Facility | None | $6.46 | $7.24 | $22.39 |
United Setting Professional Modifier None Typical Low $3.02 Median $4.68 Typical High $12.88 | Professional | None | $3.02 | $4.68 | $12.88 |
Univera Setting Facility Modifier None Typical Low $4.68 Median $8.32 Typical High $28.84 | Facility | None | $4.68 | $8.32 | $28.84 |
Univera Setting Professional Modifier None Typical Low $4.68 Median $7.24 Typical High $10.47 | Professional | None | $4.68 | $7.24 | $10.47 |
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 $2.82 Median $2.82 Typical High $3.09 | Professional | 52 · Reduced service | $2.82 | $2.82 | $3.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.12 Typical High $1.23 | Professional | 53 · Discontinued | $1.12 | $1.12 | $1.23 |
Where New York sits
The same service costs 4.4 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
$6.76
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.