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 $8.51 Typical High $30.20 | Facility | None | $5.62 | $8.51 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $8.51 | Professional | None | $5.62 | $5.62 | $8.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $25.70 | Facility | None | $10.00 | $10.00 | $25.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.98 Median $6.92 Typical High $22.39 | Professional | None | $3.98 | $6.92 | $22.39 |
CDPHP Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $20.89 Typical High $83.18 | Facility | None | $9.77 | $20.89 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $11.48 Typical High $51.29 | Professional | None | $5.89 | $11.48 | $51.29 |
Emblem Health Setting Facility Modifier None Typical Low $5.01 Median $10.00 Typical High $22.39 | Facility | None | $5.01 | $10.00 | $22.39 |
Emblem Health Setting Professional Modifier None Typical Low $4.68 Median $6.03 Typical High $19.05 | Professional | None | $4.68 | $6.03 | $19.05 |
Excellus BCBS Setting Professional Modifier None Typical Low $6.46 Median $9.77 Typical High $10.96 | Professional | None | $6.46 | $9.77 | $10.96 |
MVP Health Care Setting Facility Modifier None Typical Low $10.00 Median $18.62 Typical High $257.04 | Facility | None | $10.00 | $18.62 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $20.42 | Professional | None | $6.46 | $6.46 | $20.42 |
United Setting Facility Modifier None Typical Low $8.91 Median $10.00 Typical High $12.30 | Facility | None | $8.91 | $10.00 | $12.30 |
United Setting Professional Modifier None Typical Low $4.17 Median $6.03 Typical High $14.79 | Professional | None | $4.17 | $6.03 | $14.79 |
Univera Setting Facility Modifier None Typical Low $6.46 Median $11.48 Typical High $30.90 | Facility | None | $6.46 | $11.48 | $30.90 |
Univera Setting Professional Modifier None Typical Low $6.46 Median $9.77 Typical High $11.22 | Professional | None | $6.46 | $9.77 | $11.22 |
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 $4.27 | Professional | 52 · Reduced service | $2.82 | $2.82 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.12 Typical High $1.70 | Professional | 53 · Discontinued | $1.12 | $1.12 | $1.70 |
Where New York sits
The same service costs 3.7 times more in Alaska than in Texas. 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· 28th of 51
$8.51
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.